ACTH Drop-Off Form

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MM slash DD slash YYYY

What size Trilostane (Vetoryl) capsule(s) does your dog receive?*

How many times per day?*

Was the Trilostane given with a full meal?*

Has your dog had any urinary accidents/leakage within the past month?*

Drinking & Urination?*

Rate your dog's appetite change since the beginning of treatment*



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