Patient History – Eyes Pet's First Name*Pet's Last Name*Email* Which eye is being affected?*Left eyeRight eyeBoth eyesIs there any squinting?*YesNoIs there any discharge?*YesNoPlease specify the color of the discharge.Any sneezing or coughing?*YesNoAny recent trauma?*YesNoAny rubbing of face on carpet or furniture?*YesNoDoes your pet have a history of this issue?*YesNoEmailThis field is for validation purposes and should be left unchanged.