Request an Appointment

Three Easy Steps to Request an Appointment

OFFICE HOURS ~ MONDAY - FRIDAY 9:AM - 12:NOON and 2:PM - 7:00PM ~ SATURDAY 8:30AM - 12:30PM
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Pet Information


Please Select One Option Below




Patient Health Questionnaire

Your pet is going to have a comprehensive physical examination with one of our dedicated veterinarians. In addition to this exam, it is crucial for our staff to learn from you any information that may indicate illness or injury in your pet. Please use this form as a guideline to note any abnormalities you have noticed that may need special attention.

Does Your Pet Exhibit ANY of These Symptoms?

Coughing
Sneezing
Vomiting
Diarrhea
Change in Appetite
Constipation
Weight Gain/Loss
Change in Thirst
History of Seizures
Lethargy
Abnormal Urination
Odor from Mouth
Abnormal Growths
Discharge from Eyes/Nose
Difficulty Chewing or Swallowing
Ear Problems: Redness, Wax/Debris, Head Shaking, Scratching or Odor
Skin Problems: Itching, Flaking, Redness or Sores
Change in Coat: Dullness, Thinning or Excessive Fur Loss
Any Lameness or Difficulty Getting Up or Navigating Stairs
Please Answer the Following Questions:
CHECK IF YES
Are There Any Behavorial Issues You Would Like to Discuss?
Do You Kennel Your Pet?
Do You Use Heartworm Preventative Year Round?
If Your Pet is a Cat, Does It Go Outdoors?
Do You Use Flea Protection?
Any other information that we should know about in order to provide the best care possible?

 

By submitting this form, I hereby authorize the veterinarian to examine, prescribe for, or treat the above described pet. I assume responsibilityfor all charges incurred in the care of this animal. I also understand that these charges will be paid at the time of release and that a deposit will be required for surgical and or medical treatment. I certify that I am more than 18 years of age.

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GREENWOOD LAKE ANIMAL HOSPITAL

1925 UNION VALLEY ROAD
HEWITT, NJ 07421