GreenTree Animal Hospital

Integrative Questionnaire Form

Thank you for choosing us! Please fill out the following form before your scheduled appointment.

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Integrative Questionnaire Form

Please note: All * fields are required. If you have any questions, please call us at 847-680-6543.

Clinic Information

Pet Information

Current complaint(s) and reason for seeking integrative therapy

Current medications

Past Meds/Treatments

Current Herbal/Nutritional Supplements

Medical Hx (Health and Behavioral)

Please select those that apply to your pet: