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Pawsitive Care Animal Hospital
Compassionate Veterinary Medicine · Est. 2009
Form 01 · New Patient

Welcome to
the Family.

Please help us get to know your companion. The details below allow our veterinary team to tailor care, nutrition guidance, and preventive medicine from the very first visit.
01

Patient Information

The Pet
Pet's Name
Biscuit Hollenbeck
Date of Birth / Estimated Age
March 12, 2019 · 5 yr 7 mo
Species
Canine
Feline
Rabbit
Avian
Reptile
Exotic / Other
Breed
Golden Retriever (mix)
Color / Markings
Light cream, white chest
Weight
62.4 lb
Sex
Male / Neutered
Microchip Number
985 141 003 672 449
Spay / Neuter Date
October 4, 2019
Previous Veterinarian
Dr. M. Alvarez · Maplewood Vet
02

Owner & Household

The Human
Primary Owner
Elena R. Hollenbeck
Secondary Contact
Marcus Hollenbeck (spouse)
Mobile Phone
(503) 418-2276
Preferred Contact
Text Message
Home Address
2418 Willow Creek Lane, Portland, OR 97214
Emergency Contact
Jenna Okafor · (503) 771-0093
03

Vaccination History

On Record
Vaccine Last Administered Next Due Administered By Status
Rabies (1-year) 08 / 14 / 2024 08 / 14 / 2025 Maplewood Vet Current
DHPP (Distemper combo) 08 / 14 / 2024 08 / 14 / 2027 Maplewood Vet Current
Bordetella 02 / 03 / 2024 02 / 03 / 2025 Maplewood Vet Due Soon
Leptospirosis 08 / 14 / 2024 08 / 14 / 2025 Maplewood Vet Current
Canine Influenza (H3N2) Recommended Not Given
04

Current Diet & Supplements

Daily Routine
Primary Food
Hill's Science Diet Adult Sensitive Stomach & Skin — dry kibble
Feeding Schedule
2 meals / day · 1¼ cup per meal · 7:00 AM & 6:00 PM
Treats & Table Food
Training treats (Zuke's Mini Naturals), occasional carrot. No table scraps.
Supplements / Medications
Fish oil (1 pump daily), Glucosamine chew, Simparica Trio monthly
Known Allergies
Chicken protein — causes mild skin irritation
Water Intake
Normal · approx. 40 oz / day
05

Behavioral & Handling Notes

For Our Team
Temperament

Friendly and social with most strangers. Enthusiastic greeter. Calms quickly in new environments once introduced.

Friendly Food Motivated Tolerant
Handling Sensitivities

Dislikes nail trims on hind paws — responds well to peanut butter distraction. Ears are sensitive from a past infection.

Nail Trim Caution Ear Sensitive
Around Other Animals

Lives with one senior cat (Moss) — coexists peacefully. Plays well with small and medium dogs at the park; reactive on-leash to large dogs.

Known Fears / Anxiety

Moderate thunderstorm anxiety. Currently uses a Thundershirt; no prescribed anxiolytics. No separation anxiety reported.

Elena R. Hollenbeck
Owner Signature · I certify the information above is accurate to the best of my knowledge.
11 / 06 / 2024
Date Completed