Recheck Visit Form

Recheck Visit Form

Client/Pet Owner Information

Name
Name
First Name
Last Name
Preferred contact method(s)

Patient/Pet Information

Updates Since Your Last Visit

What changes have you noticed since the last visit? (Select all that apply)
If applicable, what area(s) are currently affected?
Has your pet had any of the following performed since the last visit? Select all that apply. Please ensure all records, reports, and diagnostic imaging are shared with The Sams Clinic.
Has your pet developed any new orthopedic concern since the last visit?
Has your pet been diagnosed with any new medical condition since the last visit?
Does your pet have any known allergies or medication sensitivities?
Has your pet ever experienced a reaction or complication related to sedation or anesthesia?
Has your pet experienced vomiting, diarrhea, coughing, sneezing, fever, or another illness within the last 30 days?
Has your pet been diagnosed with any infectious disease or contagious condition within the last 30 days?
Does your pet have any behavioral concerns that may affect handling, examination, or hospitalization?
Examples may include fear, anxiety, aggression, muzzle requirements, handling sensitivities, or escape behavior.

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Acknowledgements

Acknowledgements
Children playing outdoors with their dogs

Our Specialists

Dr. Andrew Sams, veterinary orthopedic surgeon

Andrew Sams, DVM, MS, DACVS

Founder & Medical Director
Orthopedic Surgery & Arthroscopy

Dr. Sherman Canapp, veterinary orthopedic surgeon and sports medicine specialist

Sherman Canapp, DVM, MS, CCRT, DACVS, DACVSMR

Orthopedic Surgery & Arthroscopy
Sports Medicine & Rehabilitation

Dr. Dana Whitlock, veterinary sports medicine and rehabilitation specialist

Dana Whitlock, DVM, MS, CCRP, CVA, DACVSMR

Sports Medicine & Rehabilitation

Patient Stories

Sig

Agility

“The surgical options were thoroughly explained, and Sig had surgery the very next day—repair of the OCD lesion in the right shoulder and radiofrequency treatment with platelet-rich plasma (PRP) and stem cell injections in the left. It has now been 11 months since surgery, and Sig is fully recovered. He has resumed agility classes and is stronger, faster and happier than ever.”

Maicoh

Protection & French Ring

“Kraken is back doing all the things a healthy 5-year-old Border Collie should be doing. He loves sheep herding, agility, swimming, hiking, playing with his two Dutch Shepherd brothers and ruling our house. Maicoh has retired from French Ring and enjoys dock diving in his own dock-dog pool in our yard, hiking and trying to keep Kraken—and Maicoh’s son, Lycan—in line.’

Shazam

Agility

“While a definitive diagnosis took a bit of time, Dr. Canapp did get to the underlying cause, and both of Shazam’s wrists were treated. This treatment, along with a rehabilitation program, resolved his lameness, and Shazam and I had an extremely rigorous and successful competitive agility career for many years.”

Brick

Hunting

‘I wanted to share the adjectives that Dr. Canapp and his team embody that motivated me to travel 15+ hours on 7 different trips to have them work with 3 of my dogs.”