Cushing's Clinical Score Your Name (First & Last): * Pet's Name: * Your Email: * Is this an Access Vet Care patient? * Yes No, my pet is seen elsewhere Your Veterinarian's Email: * Instructions: Please choose the category that best describes how your dog is today Drinking - Compared to before the onset of Cushing's: Thirst * NORMAL: Drinks the same amount or less MILD: Some increase in drinking MODERATE: Notable increase in drinking SEVERE: Constantly seen to be drinking Urination - Compared to before the onset of Cushing's: Urination * NORMAL: Urinates the same amount or less MILD: Some increase in urination MODERATE: Notable increase in urination SEVERE: Constantly needs to be let out to urinate Appetite - Compared to before the onset of Cushing's: Appetite * NORMAL: Appetite is the same amount or less MILD: Finishes food more eagerly MODERATE: Finishes food more eagerly then begs for more SEVERE: More obsessed with food than ever Appearance - Compared to before the onset of Cushing's: Condition * NORMAL: Appearance is the same MILD: Slightly poor hair and skin quality MODERATE: Poor hair and skin quality with some hair loss and/or some muscle loss/pot belly SEVERE: Substantial hair loss and/or noticeable muscle loss/pot belly Attitude/Activity - Compared to before the onset of Cushing's: Behavior * NORMAL: Attitude/activity is the same MILD: Not quite themselves MODERATE: Quieter and less active and/or panting more than normal SEVERE: Very quiet, dull and weak and/or noticeable increase in panting Your Pet's Cushing's Clinical Score: If you are human, leave this field blank. Email to My Veterinarian
