form_title=Ophthalmology & Dentistry form_header=Protect your
pet's loving eyes and smile! Find a ophthalmology or dentistry
specialist to care for your pet. What kind of pet do you have?*=
{Cat, Dog, Bird, Rabbit, Other} Does your pet have any specific eye
or teeth problems?*= _Please Explain[75] Has your pet been
diagnosed with a vision problem?*= () Yes () No Does your pet get
regular teeth cleaning professionally or at home?*= () Yes () No
Does your pet have a history of ear infections?*= () Yes () No