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Recheck Visit Form

Client Resource Center
About The Sams Clinic

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

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

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

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

Orthopedic Surgery & Arthroscopy
Sports Medicine & Rehabilitation

About Dr. Canapp
Dr. Dana Whitlock, veterinary sports medicine and rehabilitation specialist

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

Sports Medicine & Rehabilitation

About Dr. Whitlock

Patient Stories

Zar’n

Agility

“The team, as well as Dr. Canapp, was very helpful in explaining everything that was done and even provided video of the entire procedure. Zar’n was almost 6 years old with a promising career in agility ahead of him.”

Zar’n's Story

Bacchus

Field Trials

“Late in 2016 he subsequently underwent a left shoulder arthroscopy with radiofrequency treatment and left elbow arthroscopy. Bone marrow stem cell therapy was performed (left supraspinatus tendon and left shoulder) by Dr. Sherman Canapp. Following these procedures and aggressive rehabilitation therapy Bacchus was able to resume his field trial career in late 2017.”

Bacchus's Story

Bang

Agility

“after considering and some research I decided on most experience and also the possibility for radiofrequency ablation (RF). RF isn’t offered anywhere in Finland yet, so even with some quite skillful vets in Finland too, I wanted to get the best possible treatment for Bang. Sherman was really helpful in this decision making process, he gave me time to think about it, showed me research on shoulder issues and videos of the scopes and how RF works and answered with patience all the many questions I had.”

Bang's Story

Check

Agility

“My 6-year-old competition agility Border Collie, “Check,” had a medial shoulder instability (MSI) injury that required radiofrequency treatment. At that same time, she also had a severely strained iliopsoas. My dog recovered completely and went on to finish her Master Agility Championship title, running over 7 yards per second.”

Check's Story

View All Patient Stories >