{"id":2238,"date":"2026-06-06T07:30:50","date_gmt":"2026-06-06T07:30:50","guid":{"rendered":"https:\/\/mycrazykart.com\/guardiananimalhospital.ca\/?page_id=2238"},"modified":"2026-06-06T07:34:18","modified_gmt":"2026-06-06T07:34:18","slug":"medical-history-form","status":"publish","type":"page","link":"https:\/\/mycrazykart.com\/guardiananimalhospital.ca\/medical-history-form\/","title":{"rendered":"Medical History Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"2238\" class=\"elementor elementor-2238\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7e762ee e-flex e-con-boxed e-con e-parent\" data-id=\"7e762ee\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a8a1422 elementor-widget elementor-widget-shortcode\" data-id=\"a8a1422\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f2240-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"2240\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/guardiananimalhospital.ca\/wp-json\/wp\/v2\/pages\/2238#wpcf7-f2240-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"2240\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f2240-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<style>\n\/* Guardian Animal Hospital - Medical History Form *\/\n\n.gah-medical-form {\n width: 100%;\n max-width: 100%;\n margin: 0 auto;\n padding: 55px 7%;\n background: #ffffff;\n font-family: \"Open Sans\", Arial, sans-serif;\n color: #0b2f5b;\n box-sizing: border-box;\n}\n\n.gah-medical-form * {\n box-sizing: border-box;\n}\n\n.gah-medical-inner {\n width: 100%;\n max-width: 1180px;\n margin: 0 auto;\n}\n\n.gah-medical-title {\n margin-bottom: 38px;\n}\n\n.gah-medical-title h2 {\n font-size: 32px;\n line-height: 1.25;\n margin: 0 0 20px;\n color: #194b92;\n font-weight: 700;\n}\n\n.gah-medical-title p {\n font-size: 15px;\n line-height: 1.85;\n color: #4d5b6b;\n margin: 0 0 14px !important;\n max-width: 100%;\n}\n\n.gah-form-section {\n width: 100%;\n margin-top: 34px;\n padding-top: 26px;\n border-top: 1px solid #e5eaf0;\n}\n\n.gah-form-section h3 {\n font-size: 22px;\n line-height: 1.3;\n margin: 0 0 24px;\n color: #194b92;\n font-weight: 700;\n}\n\n.gah-form-row {\n width: 100%;\n display: grid;\n grid-template-columns: repeat(2, minmax(0, 1fr));\n column-gap: 22px;\n row-gap: 0;\n}\n\n.gah-form-group {\n width: 100%;\n margin-bottom: 24px;\n}\n\n.gah-form-full {\n grid-column: 1 \/ -1;\n}\n\n.gah-medical-form br {\n display: none !important;\n}\n\n.gah-medical-form p {\n margin: 0 !important;\n padding: 0 !important;\n}\n\n.gah-form-group label,\n.gah-radio-group > label {\n display: block;\n font-size: 14px;\n line-height: 1.25;\n font-weight: 700;\n color: #0b2f5b;\n margin: 0 0 10px 0 !important;\n padding: 0 !important;\n}\n\n.gah-required {\n color: #e53935 !important;\n font-weight: 700;\n margin-left: 2px;\n}\n\n.gah-medical-form .wpcf7-form-control-wrap {\n display: block;\n width: 100%;\n margin: 0 !important;\n padding: 0 !important;\n}\n\n\/* Same Design For All Fields *\/\n.gah-medical-form input[type=\"text\"],\n.gah-medical-form input[type=\"email\"],\n.gah-medical-form input[type=\"tel\"],\n.gah-medical-form input[type=\"url\"],\n.gah-medical-form input[type=\"number\"],\n.gah-medical-form input[type=\"date\"],\n.gah-medical-form select,\n.gah-medical-form textarea {\n width: 100% !important;\n max-width: 100% !important;\n border: 1px solid #dbe3ec !important;\n background: #f3f5f7 !important;\n border-radius: 14px !important;\n padding: 14px 18px !important;\n font-size: 14px !important;\n line-height: 1.4 !important;\n color: #0b2f5b !important;\n font-family: \"Open Sans\", Arial, sans-serif !important;\n outline: none !important;\n box-shadow: none !important;\n margin: 0 !important;\n transition: all 0.25s ease !important;\n}\n\n\/* Input Height *\/\n.gah-medical-form input[type=\"text\"],\n.gah-medical-form input[type=\"email\"],\n.gah-medical-form input[type=\"tel\"],\n.gah-medical-form input[type=\"url\"],\n.gah-medical-form input[type=\"number\"],\n.gah-medical-form input[type=\"date\"],\n.gah-medical-form select {\n height: 52px !important;\n min-height: 52px !important;\n}\n\n\/* Date Field Calendar Pointer *\/\n.gah-medical-form input[type=\"date\"] {\n cursor: pointer;\n position: relative;\n}\n\n.gah-medical-form input[type=\"date\"]::-webkit-calendar-picker-indicator {\n cursor: pointer;\n opacity: 1;\n}\n\n\/* Textarea *\/\n.gah-medical-form textarea {\n height: 110px !important;\n min-height: 110px !important;\n resize: vertical;\n display: block;\n}\n\n.gah-medical-form input::placeholder,\n.gah-medical-form textarea::placeholder {\n color: #7b8794 !important;\n opacity: 1 !important;\n font-size: 14px !important;\n}\n\n.gah-medical-form input:focus,\n.gah-medical-form select:focus,\n.gah-medical-form textarea:focus {\n border-color: #194b92 !important;\n background: #ffffff !important;\n box-shadow: 0 0 0 4px rgba(25, 75, 146, 0.10) !important;\n}\n\n\/* Radio Fields *\/\n.gah-radio-group {\n width: 100%;\n margin-bottom: 24px;\n}\n\n.gah-radio-group .wpcf7-radio {\n display: grid;\n gap: 8px;\n}\n\n.gah-radio-group .wpcf7-list-item {\n display: block;\n margin: 0 !important;\n}\n\n.gah-radio-group .wpcf7-list-item label {\n display: inline-flex;\n align-items: center;\n gap: 8px;\n font-size: 14px;\n line-height: 1.4;\n color: #233d5e;\n font-weight: 500;\n cursor: pointer;\n margin: 0 !important;\n}\n\n.gah-radio-group input[type=\"radio\"] {\n width: 15px;\n height: 15px;\n margin: 0;\n accent-color: #194b92;\n}\n\n\/* Submit Button *\/\n.gah-submit-wrap {\n width: 100%;\n margin-top: 10px;\n}\n\n.gah-medical-form input[type=\"submit\"] {\n display: inline-flex;\n align-items: center;\n justify-content: center;\n min-height: 50px;\n border: none !important;\n outline: none !important;\n background: #f4c542 !important;\n color: #0b2f5b !important;\n border-radius: 100px !important;\n padding: 15px 34px !important;\n font-size: 15px !important;\n line-height: 1 !important;\n font-weight: 700 !important;\n font-family: \"Open Sans\", Arial, sans-serif !important;\n cursor: pointer;\n transition: none !important;\n}\n\n\/* Button Hover Removed *\/\n.gah-medical-form input[type=\"submit\"]:hover,\n.gah-medical-form input[type=\"submit\"]:focus,\n.gah-medical-form input[type=\"submit\"]:active {\n background: #f4c542 !important;\n color: #0b2f5b !important;\n box-shadow: none !important;\n transform: none !important;\n}\n\n\/* CF7 Messages *\/\n.gah-medical-form .wpcf7-response-output {\n margin: 25px 0 0 !important;\n padding: 14px 18px !important;\n border-radius: 12px;\n font-size: 14px;\n}\n\n.gah-medical-form .wpcf7-not-valid-tip {\n margin-top: 6px;\n font-size: 13px;\n}\n\n\/* Mobile Responsive *\/\n@media (max-width: 991px) {\n .gah-medical-form {\n padding: 45px 5%;\n }\n\n .gah-medical-title h2 {\n font-size: 28px;\n }\n}\n\n@media (max-width: 767px) {\n .gah-medical-form {\n padding: 35px 18px;\n }\n\n .gah-medical-title h2 {\n font-size: 25px;\n margin-bottom: 16px;\n }\n\n .gah-medical-title p {\n font-size: 14px;\n line-height: 1.75;\n margin-bottom: 12px !important;\n }\n\n .gah-form-row {\n grid-template-columns: 1fr;\n column-gap: 0;\n row-gap: 0;\n }\n\n .gah-form-group {\n margin-bottom: 22px;\n }\n\n .gah-form-section h3 {\n font-size: 21px;\n }\n\n .gah-medical-form input[type=\"text\"],\n .gah-medical-form input[type=\"email\"],\n .gah-medical-form input[type=\"tel\"],\n .gah-medical-form input[type=\"url\"],\n .gah-medical-form input[type=\"number\"],\n .gah-medical-form input[type=\"date\"],\n .gah-medical-form select {\n height: 50px !important;\n min-height: 50px !important;\n border-radius: 12px !important;\n padding: 13px 16px !important;\n }\n\n .gah-medical-form textarea {\n height: 110px !important;\n min-height: 110px !important;\n border-radius: 12px !important;\n padding: 13px 16px !important;\n }\n}\n<\/style>\n<div class=\"gah-medical-form\">\n\t<div class=\"gah-medical-inner\">\n\t\t<div class=\"gah-medical-title\">\n\t\t\t<h2>Medical History Form\n\t\t\t<\/h2>\n\t\t\t<p>Please call the office to schedule an appointment for your pet.\n\t\t\t<\/p>\n\t\t\t<p>In order for your veterinary healthcare team to provide comprehensive care for your pet, please fill in this form and return via email prior to your visit.\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"gah-form-row\">\n\t\t\t<div class=\"gah-form-group\">\n\t\t\t\t<p><label>Date <span class=\"gah-required\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"appointment-date\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date gah-date-picker\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"appointment-date\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"gah-form-group\">\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"gah-form-section\">\n\t\t\t<h3>Owner\u2019s Name\n\t\t\t<\/h3>\n\t\t\t<div class=\"gah-form-row\">\n\t\t\t\t<div class=\"gah-form-group\">\n\t\t\t\t\t<p><label>First Name <span class=\"gah-required\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"owner-first-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"First name\" value=\"\" type=\"text\" name=\"owner-first-name\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"gah-form-group\">\n\t\t\t\t\t<p><label>Last Name <span class=\"gah-required\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"owner-last-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Last name\" value=\"\" type=\"text\" name=\"owner-last-name\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"gah-form-group\">\n\t\t\t\t<p><label>Street Address <span class=\"gah-required\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"street-address\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Street address\" value=\"\" type=\"text\" name=\"street-address\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"gah-form-row\">\n\t\t\t\t<div class=\"gah-form-group\">\n\t\t\t\t\t<p><label>City<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"city\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"City\" value=\"\" type=\"text\" name=\"city\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"gah-form-group\">\n\t\t\t\t\t<p><label>State \/ Province \/ Region<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"state-province\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"State \/ Province \/ Region\" value=\"\" type=\"text\" name=\"state-province\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"gah-form-row\">\n\t\t\t\t<div class=\"gah-form-group\">\n\t\t\t\t\t<p><label>ZIP \/ Postal Code<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"postal-code\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"ZIP \/ Postal Code\" value=\"\" type=\"text\" name=\"postal-code\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"gah-form-group\">\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"gah-form-row\">\n\t\t\t\t<div class=\"gah-form-group\">\n\t\t\t\t\t<p><label>Mobile Phone<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"mobile-phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel gah-phone-mask\" aria-invalid=\"false\" placeholder=\"(604) 000-0000\" value=\"\" type=\"tel\" name=\"mobile-phone\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"gah-form-group\">\n\t\t\t\t\t<p><label>Email <span class=\"gah-required\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"email-address\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Email address\" value=\"\" type=\"email\" name=\"email-address\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"gah-form-section\">\n\t\t\t<h3>Pet Information\n\t\t\t<\/h3>\n\t\t\t<div class=\"gah-form-row\">\n\t\t\t\t<div class=\"gah-form-group\">\n\t\t\t\t\t<p><label>Pet\u2019s Name <span class=\"gah-required\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"pet-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Pet\u2019s name\" value=\"\" type=\"text\" name=\"pet-name\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"gah-form-group\">\n\t\t\t\t\t<p><label>Species <span class=\"gah-required\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"species\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"species\"><option value=\"Dog\">Dog<\/option><option value=\"Cat\">Cat<\/option><option value=\"Bird\">Bird<\/option><option value=\"Rabbit\">Rabbit<\/option><option value=\"Reptile\">Reptile<\/option><option value=\"Other\">Other<\/option><\/select><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"gah-form-row\">\n\t\t\t\t<div class=\"gah-form-group\">\n\t\t\t\t\t<p><label>Breed<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"breed\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Breed if known\" value=\"\" type=\"text\" name=\"breed\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"gah-form-group\">\n\t\t\t\t\t<p><label>Sex<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"pet-sex\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"pet-sex\"><option value=\"Neutered Male\">Neutered Male<\/option><option value=\"Male\">Male<\/option><option value=\"Spayed Female\">Spayed Female<\/option><option value=\"Female\">Female<\/option><option value=\"Unknown\">Unknown<\/option><\/select><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"gah-form-row\">\n\t\t\t\t<div class=\"gah-form-group\">\n\t\t\t\t\t<p><label>Color<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"pet-color\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Pet color\" value=\"\" type=\"text\" name=\"pet-color\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"gah-form-group\">\n\t\t\t\t\t<p><label>Date of Birth or Age<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"pet-age\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Date of birth or age if known\" value=\"\" type=\"text\" name=\"pet-age\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"gah-form-section\">\n\t\t\t<h3>Pet Health - Reason for Visit\n\t\t\t<\/h3>\n\t\t\t<div class=\"gah-form-group\">\n\t\t\t\t<p><label>Describe your concern <span class=\"gah-required\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"describe-concern\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Describe your concern\" name=\"describe-concern\"><\/textarea><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"gah-form-row\">\n\t\t\t\t<div class=\"gah-form-group\">\n\t\t\t\t\t<p><label>How long has this been going on? <span class=\"gah-required\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"concern-duration\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Days \/ Weeks \/ Months\" value=\"\" type=\"text\" name=\"concern-duration\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"gah-form-group\">\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"gah-form-row\">\n\t\t\t\t<div class=\"gah-form-group\">\n\t\t\t\t\t<p><label>What are you currently feeding the pet? <span class=\"gah-required\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"pet-food\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Food \/ treats\" value=\"\" type=\"text\" name=\"pet-food\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"gah-form-group\">\n\t\t\t\t\t<p><label>How is their appetite? <span class=\"gah-required\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"pet-appetite\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Poor \/ good \/ excellent\" value=\"\" type=\"text\" name=\"pet-appetite\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"gah-radio-group\">\n\t\t\t\t<p><label>Are you currently giving any medications or supplements? <span class=\"gah-required\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"medications\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"medications\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"medications\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"gah-radio-group\">\n\t\t\t\t<p><label>Any coughing or sneezing? <span class=\"gah-required\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"coughing-sneezing\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"coughing-sneezing\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"coughing-sneezing\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"gah-radio-group\">\n\t\t\t\t<p><label>Any vomiting or diarrhea? <span class=\"gah-required\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"vomiting-diarrhea\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"vomiting-diarrhea\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"vomiting-diarrhea\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"gah-radio-group\">\n\t\t\t\t<p><label>Have they gotten into anything? Eaten anything unusual? <span class=\"gah-required\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"eaten-unusual\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"eaten-unusual\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"eaten-unusual\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"gah-form-row\">\n\t\t\t\t<div class=\"gah-form-group\">\n\t\t\t\t\t<p><label>Is your pet indoors only? Cats<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"indoors-only\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Yes \/ No \/ Not applicable\" value=\"\" type=\"text\" name=\"indoors-only\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"gah-form-group\">\n\t\t\t\t\t<p><label>Any environmental changes? <span class=\"gah-required\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"environmental-changes\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Environmental changes\" value=\"\" type=\"text\" name=\"environmental-changes\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"gah-form-row\">\n\t\t\t\t<div class=\"gah-form-group\">\n\t\t\t\t\t<p><label>Describe their behavior <span class=\"gah-required\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"pet-behavior\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Lethargic \/ normal \/ hyperactive\" value=\"\" type=\"text\" name=\"pet-behavior\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"gah-form-group\">\n\t\t\t\t\t<p><label>Any changes to thirst? <span class=\"gah-required\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"thirst-changes\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Increased \/ normal \/ decreased\" value=\"\" type=\"text\" name=\"thirst-changes\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"gah-form-row\">\n\t\t\t\t<div class=\"gah-form-group\">\n\t\t\t\t\t<p><label>Any changes to urination? <span class=\"gah-required\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"urination-changes\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Increased \/ normal \/ decreased\" value=\"\" type=\"text\" name=\"urination-changes\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"gah-form-group\">\n\t\t\t\t\t<p><label>How are their bowel movements? <span class=\"gah-required\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"bowel-movements\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Normal \/ abnormal\" value=\"\" type=\"text\" name=\"bowel-movements\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"gah-form-row\">\n\t\t\t\t<div class=\"gah-form-group\">\n\t\t\t\t\t<p><label>When was their last bowel movement <span class=\"gah-required\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"last-bowel-movement\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Last bowel movement\" value=\"\" type=\"text\" name=\"last-bowel-movement\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"gah-form-group\">\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"gah-submit-wrap\">\n\t\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit\" \/>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<p><script>\ndocument.addEventListener(\"DOMContentLoaded\", function () {\n const dateFields = document.querySelectorAll(\".gah-date-picker\");\n\n dateFields.forEach(function (field) {\n field.addEventListener(\"click\", function () {\n if (typeof field.showPicker === \"function\") {\n field.showPicker();\n }\n });\n\n field.addEventListener(\"focus\", function () {\n if (typeof field.showPicker === \"function\") {\n field.showPicker();\n }\n });\n });\n\n const phoneFields = document.querySelectorAll(\".gah-phone-mask\");\n\n phoneFields.forEach(function (field) {\n field.setAttribute(\"maxlength\", \"14\");\n field.setAttribute(\"inputmode\", \"numeric\");\n\n field.addEventListener(\"input\", function () {\n let numbers = field.value.replace(\/\\D\/g, \"\").substring(0, 10);\n let formatted = \"\";\n\n if (numbers.length > 0) {\n formatted = \"(\" + numbers.substring(0, 3);\n }\n\n if (numbers.length >= 4) {\n formatted += \") \" + numbers.substring(3, 6);\n }\n\n if (numbers.length >= 7) {\n formatted += \"-\" + numbers.substring(6, 10);\n }\n\n field.value = formatted;\n });\n });\n});\n<\/script>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-2238","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/mycrazykart.com\/guardiananimalhospital.ca\/wp-json\/wp\/v2\/pages\/2238","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mycrazykart.com\/guardiananimalhospital.ca\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/mycrazykart.com\/guardiananimalhospital.ca\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/mycrazykart.com\/guardiananimalhospital.ca\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/mycrazykart.com\/guardiananimalhospital.ca\/wp-json\/wp\/v2\/comments?post=2238"}],"version-history":[{"count":0,"href":"https:\/\/mycrazykart.com\/guardiananimalhospital.ca\/wp-json\/wp\/v2\/pages\/2238\/revisions"}],"wp:attachment":[{"href":"https:\/\/mycrazykart.com\/guardiananimalhospital.ca\/wp-json\/wp\/v2\/media?parent=2238"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}