Please note: We will be closed Monday, July 4th in observance of Independence Day!

Boarding pick-up will still be available on Sunday, July 3rd from 5:30 pm – 6 pm.

Wellness Check-in Form

Thank you for choosing Brooklyn Road Veterinary Clinic as your preferred Jackson, MI veterinarian! Please fill out the below form as thoroughly as possible.

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green energy 14

Wellness Check-in

We are glad to have the opportunity to care for your pet. To ensure your pet gets the best care we can offer, please fill out the following form completely. Please Note: All * fields are required.

Please fill out this patient history form in entirety to ensure we can provide your pet with the best possible care. It would be extremely helpful to have the information the day prior to your appointment if possible. Thank you!

Instructions

Clients are allowed in the building for appointments, but if possible we ask that only 2 people come in with their pets. If you have a large family we can provide Curbside care for your pet to help stay distanced in the small rooms. We ask that you wear a mask if you are not fully vaccinated against Covid-19 and our team will do the same. If you would like to stay in your car, please call in when you arrive.

If you have been sick please send your pet with someone else or do not enter our facility, but elect for curbside care to try and protect our team and others around you.

Date Given (Please type N/A if not on a preventative)
Date Given (Please type N/A if not on a preventative)

The following questions help us to assess the lifestyle of your pet to give the best advice on needed protection.

Click or drag a file to this area to upload.
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Initial
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