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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

Our Specialists

Andrew Sams, DVM, MS, DACVS

Founder & Medical Director
Orthopedic Surgery & Arthroscopy

About Dr. Sams

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

Orthopedic Surgery & Arthroscopy
Sports Medicine & Rehabilitation

About Dr. Canapp

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

Sports Medicine & Rehabilitation

About Dr. Whitlock

Patient Stories

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

Cole

Agility

“Cole is now back doing the things he loves: agility, herding and hiking. I can’t say enough good things about my experience with Dr. Canapp and his team. Their love for the animals and friendliness toward the owners made the experience very pleasant. I am so happy that this level of technology and range of treatment options were available to us.’

Cole's Story

Cider

Agility

“Cider has recovered so well from his procedure for medial shoulder syndrome (MSS). I can tell a huge difference! He is so grateful to be back to his very energetic, keep mommy on her toes self!”

Cider's Story

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.”

Shazam's Story

View All Patient Stories >