Please note: We will be closed from Saturday, December 24th through Monday, December 26th in observance of Christmas!

Eastern Medicine Consult Form

(please list model & color)
(the veterinarian and medical team will use this number to communicate with you throughout the appointment)

Five Elements Questionnaire

The ancient Chinese divided the natural world into five categories which represented all the indispensable and fundamental elements constituting the universe. This five-category system was called Wu Xing because Wu means five and Xing means movement, activity, action, category, or element – this system has been translated as the Five Elements. Traditional Chinese medical practitioners use the properties of the Five Elements and the relationship between them to explain medical problems.


Please check the boxes below that describe your pet to aid Dr. West in determining your pet’s eastern medicine diagnosis and therapeutic plan.