Itchy Dog Evaluation

  • Physical Evaluation

    Please check any that describe your dog and circle problem areas on the drawing.








  • Severity Evaluation

    On a scale of 0 to 10 rank the severity of your dog’s symptoms.
  • Please enter a number from 0 to 10.
  • Please enter a number from 0 to 10.
  • Please enter a number from 0 to 10.
  • Onset and Seasonailty Evaluation

  • Parasite Control

  • Lifestyle Evaluation

  • Dietary Evaluation

  • Relationship Evaluation

    Indicate if and how your dog’s itching has affected his or her behavior and relationship with you.
  • Prior Treatments










  • Next Steps

    Physical Exam:
    A Thorough physical evaluation of your dog will help us identify obvious problem and conditions such as parasites.

    Laboratory Testing:
    Ear Swab- to identify any infections in the ear including yeast and/or bacteria

    Skin Scrape/ Hair Pluck- to detect scabies or dermodex mites

    Impression Smear/Tape Prep- to detect other parasites and check for presence of yeast and/or bacteria