Otic/Ear History Form Template
Ensure you have the information needed to successfully treat your patients – before the appointment starts.
Use this Otic/Ear History Form Template you can share with clients before appointments to streamline your patient intake process and save time during check-in.

This form will help you:
- Request a list of the pet’s current medications and supplements.
- Identify behaviors or recent changes that indicate ear conditions.
- Establish recent behavior changes that may indicate larger health concerns.