Wellness Form

Please fill out the following form before your scheduled appointment with us.

Wellness Form

Thank you for choosing Green Oaks North Pet Hospital. In order to better serve your pet, please fill out the following form as thoroughly as possible. If you have any questions, please give us a call.

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Owner's Name *

First

Last

Email *

Pet's Name *

Important questions about your pet's health

As your pet ages, changes take place that may indicate medical problems. We are believers in preventing illness rather than treating illness. Since your pet can't talk to us, please take a moment to tell us about your pet.

What is their daytime environment like? *

Indoor
Outdoor
Crate
Apartment environment

What are their activities (please check all that apply) *

Breeding
Shows
Hunting
Agility
Hiking
Camping
Swimming
Performance
None

Does your pet go to (please check all that apply) *

Groomer
Boarding
Training
Shows
Park
None

Does your pet have a history of vaccine reactions? *

Please describe vaccine reactions:

Does your pet have a microchip? *

Are there other pets in the household? *

Do you plan to get additional pets this year? *

Do you give your pet any medications or nutritional supplements? *

If yes, please list *

Do you give your pet heartworm prevention? *

If yes, please list type and last date given *

Have you noticed any of the following? (please check all that apply) *

changes in food consumption
changes in water consumption
weight loss or gain
changes in activity level or exercise tolerance changes
difficulty walking, stiffness or pain
hearing problems
shaking head or scratching ears
lumps or skin lesions
flea or tick problem
scratching, chewing or licking
scooting or chewing/licking under tail
eye discharge or red eyes
coughing, sneezing, or difficulty breathing
seizures or fainting episodes
vomiting
diarrhea
none

If yes, how frequently? *

If yes, when? *

Do you clean your pets eyes regularly? *

If yes, how often and with what? *

Do you clean your pet’s ears regularly? *

If yes, how often and with what? *

Is your pet’s breath: *

Pleasant
Unpleasant
Normal

Do you brush your pets teeth? *

If yes, how often? *

What brand of food are you feeding your pet? *

How much are you feeding daily? *

What kind of treats are you giving your pet? *

Please check any behavioral changes: *

Barking
Destructiveness
Chewing
Aggressiveness
House Soiling
Disobedience
None

Download Our App!

The VitusVet app makes caring for your pet easier with quick access to medical records, appointment requests, refill requests, and more.

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Ready for a visit?

We proudly serve the pets of Arlington, Grand Prairie, Euless, Viridian, and the surrounding areas. We look forward to seeing you and your pet! You may request an appointment by clicking the button below.

Request appointment

We offer virtual care!

Address your pet’s health from the comfort of your home by quickly connecting with your veterinarian. Click here to download the Anipanion App from your app store.

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Find Us

1890 NE Green Oaks Blvd
Arlington, TX 76006

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Our Hours

Mon–Fri: 7:30 am to 7:00 pm
Sat: 8:00 am to 12:00 pm
Sun: Closed

Hours may vary on holidays

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Contact Us

817-860-3087 (phone)
817-860-3088 (fax)
technician@greenoaksnorthvets.com

Have a question?

Get in touch! Complete our online form, and a member of our team will be in touch with you shortly.

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