Please tell us about the new addition to your family! Previous medical records including vaccine history, x-rays, blood tests, and any lab reports can be emailed to office@hpcnj.com or faxed to 973-939-8422.


Email
Name
Phone
Name of Pet
Species
Breed
Color-Markings
Date of Birth
Sex
Weight
Reason for visit 
*
Recent Medical History 
*
How is the appetite? 
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Excessive thirst or urination? 
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Vomiting? Diarrhea? 
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Coughing? Sneezing? 
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Current Medications 
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Past Medical History? 
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Habits 
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Fears 
*
Desires 
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Source of Pet 
*
Past Vet Name & Contact Information 
*
Most Recent Vaccinations with Dates 
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Type of Houshold 
*
If a Cat 
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If a dog, how much exercise does he or she get? 
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Any other pets at home and how do they interact? 
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Any children at home? How does your pet interact with them? 
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What brand do you feed your pet? 
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How much, how often? 
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Where do you purchase your pet food? 
*
Any supplements? 
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Any treats or table food? 
*
Holistic Lifestyle 
*
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We love all of our customers from Little Falls and nearby areas including Clifton, Montclair, Ridgewood, Paramus, Oakland, Ramsey, Denville, Allentown, Westport, New York, and more!

Come visit your local holistic veterinarians in Little Falls, NJ.