Client Health Questionnaire

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Client Health Questionnaire

Greenfield Animal Hospital takes both the staff and clients’ health seriously. We have decided to follow the guidelines recommended by the CDC/AVMA in regards to reopening our building to the public. Please understand that as a small business one positive case could cause our doors to close and staff to quarantine, which could be detrimental to both our business and our ability to provide your pet with the healthcare that he or she may need.

  • Please complete this questionnaire both completely and honestly.

  • :

  • Are you currently experiencing any of the following symptoms:

  • Did you answer yes to any of the symptoms listed above?

    If yes, we ask that you please either remain in your vehicle or reschedule your current appointment. Alternatively you may have an individual who is non symptomatic attend your pets visit.

  • Please read and agree to the terms below before submitting this form.

  • Please sign Below.



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