(219) 365-8531
stjohnanimal@sbcglobal.net
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About
Services
Resources
Fear Free Certification
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Contact
Appointment

Pre-Exam Questionnaire Form

Save time during your appointment! Complete your required form online from any device at any time before your visit.

St. John Animal Clinic

Pre-Exam Questionnaire Form

Please fill out this form as accurately as possible so we can get to know you and your pet before your visit.

Name *

First

Last

Email *

Pet's Name *

Please list the names and dosages of all current medications and/or supplements your pet is taking? If you need any refills, please indicate by writing "Refill" after name.

What brand of Heartworm prevention do you give your pet? *

Do you give heartworm prevention all year around? *

Yes
No

Do you need more? *

Yes
No

If you answered yes, how many? *

What brand of Flea and Tick prevention is your pet on? *

Do you give Flea and Tick prevention all year around? *

Yes
No

Do you need more? *

Yes
No

If you answered yes, how many? *

What diet are you feeding your pet? *

Is it grain free? *

Yes
No

Have you had genetic testing done on your dog? *

Yes - If yes, please bring results.
No - But interested
No - Not interested

Comment

We’re Excited to See You

St. John Animal Clinic recognizes the valuable bond between humans and animals and is dedicated to making a difference by providing superior veterinary care through education, communication, and preventative medicine. For general information, questions, and appointment requests, click the below button.

Book Appointment



Contact info

Phone: (219)-365-8531
Email:stjohnanimal@sbcglobal.net



Address

8661 Wicker Ave.
St. John, IN 46373



Hours

Mon & Wed:	7:30am – 7:30pm
Tue & Thu:	9:00am – 6:00pm
Fri:	7:30am – 6:00pm
Sat:	7:30am- 12:00pm
Sun & Holidays:	Closed



After Hours Emergency

Emergency Veterinary Care Centers
(219) 881–1600
8501 Indianapolis Blvd.
Highland, IN 46322
EVCC.com



Contact info

Phone: (219) 365-8531
Email: stjohnanimal@sbcglobal.net



Address

8661 Wicker Ave
St. John, IN 46373



Hours

Mon & Wed:	7:30am – 7:00pm
Tue & Thu:	9am – 6pm
Fri:	7:30am – 5pm
Sat:	7:30am – 12pm
Sun & Holidays:	Closed



After Hours Emergency

Emergency Veterinary Care Centers
(219) 881–1600
8501 Indianapolis Blvd
Highland, IN 46322
EVCC.com

Have a Question?

Please fill out our online form and we will respond as soon as possible.

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Email *

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We Proudly Serve Pets of St. John, IN, and Beyond

We proudly serve the pets of St. John, Dyer, Schererville, Crown Point, Munster, Highland, Cedar Lake, Griffith, Hammond, Merrillville, IN, as well as Crete, Beecher, Lansing, and Chicago, IL.

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