Holistic Consult Form

Thank you for your interest in scheduling a consultation with our doctors. Please be sure that you fill out this form as soon as possible after scheduling your appointment. If we do not receive your completed form and all relevant records within 3 business days of your appointment, you may be asked to reschedule.


Owner Information
Pet Information
Birthdate may be entered as mm/dd/yy or you may scroll through the calendar to pick the correct date.
Include name of supplement, strength/dose, and how often given.
Include medication name, strength/dose, and how often given
Include a brief description of each Problem/Disease, Age at Onset, Treatments Tried and if they were successful.
Include surgery performed, and date (year)

This sample should be collected no more than 24 hours before the appointment and can be brought in a plastic bag or a disposable container.

Learn how you can become a client

We invite you and your best friend to join us at Clayton and Churchtown Veterinary. Call (856) 881-7470 to learn how you can become a client and to schedule your appointment.

Call Now (856) 881-7470