Please complete this form after booking your appointment.
Fill in what you can — the more you share, the deeper the diagnosis we can provide.
About Kampo at OHANA
Kampo (Traditional Chinese Veterinary Medicine) at OHANA uses the Four Examinations — observation, listening, inquiry, and palpation — to identify your pet's constitutional pattern and design a targeted herbal prescription. We combine this with modern diagnostics for a whole-system view of health.
This intake form guides our pre-visit diagnosis. By sharing your pet's symptoms, constitution, and daily habits in advance, we can identify patterns such as Qi deficiency, Blood stasis, Yin deficiency, or Phlegm-Damp accumulation from the very first session — and select the most appropriate formula accordingly.
This consultation is suited for
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We will be in touch within 2 business days.
If you chose LINE as your contact method, please send your name and write "Kampo Initial Appointment" via LINE.
Check all that apply (multiple OK). The more items checked, the stronger that tendency is likely to be.
Low energy type
Qi flow stagnation type
Blood insufficiency type
Poor blood circulation type
Fluid deficiency / heat accumulation type
Fluid metabolism stagnation type
Warming function deficiency type
Excess heat type
The following photos and videos help improve diagnostic accuracy. Please send them via LINE or email after submitting this form.
We will be in touch within 2 business days of receiving your form.