Pet History and Homeopathy Acceptance Letter

Natural Vet for Pets requires this form, which includes the Medical History and Acceptance Letter to be filled out before making an appointment with Dr. Hershman.

Dr. Hershman needs to learn about your pet before any consultation and to receive your acceptance of homeopathic treatment. The form is divided into sections and should be reviewed and answered as best possible. Your insight and observations will provide Dr. Hershman with a more thorough picture of your pet's health.

The questionnaire takes approximately 5-15 minutes to complete depending on the health of your pet.

Please print, fill out, and return them to the office by email or fax. It will take you approximately 5-15 minutes to complete depending on the health of your pet.

New Patient Pet History & Acceptance Form

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New Patient?

Before we can schedule an appointment for your pet, please fill out the form below, provide with your pet's medical records and return via email or fax.

New Patient Pet History Form & Acceptance Letter

Office Hours

Monday – Closed
Tuesday – 11am – 7pm
Wednesday – 11am – 7pm
Thursday – 11am – 7pm
Friday – 11am – 7pm
Saturday, 12pm – 6pm
Sunday – Closed

Natural Vet for Pets, Westchester County, NY

585 Warburton Avenue
Hastings-on-Hudson, NY 10706

(914) 478-4100
Petfinder: A new pet is waiting for you at Petfinder

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