Pre-Exam Questionnaire

When You Arrive

Park at BHPH Only please.

Once you arrive please remain in your car. Send a text message to 203-324-5711 with the following information:

IN ONE SINGLE SENTENCE Please send the following:

  1. Your name and your pet’s name
  2. For Doctor’s Exam: Name of Doctor you are scheduled to see  (Dr. Steven Zeide, Dr. Nolan Zeide, or Dr. Alan Shanker)
  3. Color/make/model of your car

*If no one comes to pick up your pet within 5 minutes, please text again or call 203-324-5711 and press #


Pre-Exam Questionnaire

We kindly request that you complete this required form, and return it to us 72 hours prior to your pet’s appointment, so that the doctor has time to review it, in advance of your visit.

Your Information

Appointment Information

Pet Information

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