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(631) 923-2530

770 West Jericho Turnpike,
Huntington, NY 11743

Specialty Veterinary Care in Long Island NY 24hr Emergency Care for pets
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Menu
  • Home
  • About
    • Our Mission
    • Support Staff
    • Career Opportunities
  • Specialists
  • Veterinary Specialties
    • What is a Board-Certified Veterinary Specialist
    • Behavior
    • Cardiology
    • Emergency Care
    • HD CT Imaging
    • Internal Medicine
    • Oncology
    • Rehabilitation
    • Reproduction
    • Surgery
  • Pet Owners
    • Patient Forms
  • Referring Veterinarians
    • Referral Forms
  • Contact
  • Shop Now

Home » Pet Behavior Recheck Questionnaire

Pet Behavior Recheck Questionnaire

Marked Fields Are Required [*]

"*" indicates required fields

Please return this form to us by 1 business day before your appointment.

If your pet has seen another veterinarian since they last saw Dr. Petroff, please request that your pet’s other veterinarian(s) sends us updated medical records at behavior@goldcoastcvc.com. This should include any bloodwork or other diagnostic results.
Pet Parent's Name*
Does your pet take any medications or supplements?*
What are the current medications and/or supplements your pet is taking?*
Medication
Dosage
Instructions
 
Are refills needed?*
Medications and/or supplements needing a refill:*
Medication
Dosage
30, 60, or 90 Days?
 
Has your pet’s diet changed?*
Since the last appointment, how would you rate the change in your pet's most significant problematic behavior?*
Has your pet been seen by their primary care vet or another veterinarian since your pet's last behavior appointment?

— If you haven’t yet asked them to send the most current records of that visit to Dr. Petroff, please call them and ask they send those records to behavior@goldcoastcvc.com.

This field is for validation purposes and should be left unchanged.
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Veterinary Specialties

  • What is a Board-Certified Veterinary Specialist
  • Behavior (Practice Limited to Behavior)
  • Cardiology
  • Clinical Pathology
  • Emergency Care
  • Internal Medicine
  • Oncology
  • Rehabilitation
  • Reproduction
  • Surgery

If your pet is having an emergency, contact West Hills

24 hr - West Hills Animal Hospital in Huntington

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Hospital Affiliations

  • AVMA
  • New York State Veverinary Medical Society
  • USDA
  • American College of Veterinary Surgeons
Gold Coast Center for Veterinary Care in Long Island City

Gold Coast Center for Veterinary Care

770 West Jericho Turnpike
Huntington, NY 11743

(631) 923-2530

Our team of Board-Certified Veterinary Specialists use their expertise every day so that your pet has a chance of a healthy recovery and long life with you and your family

https://goldcoastcvc.com/

Gold Coast Center for Veterinary Care

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