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 TCM at OHANA
TCM (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 herb 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.
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We will be in touch within 2 business days.
Please also email us your name with the subject "TCM Medical Questionnaire" for faster processing.