Call: 203-661-1437
Text: 203-661-1437
264 W. Putnam Ave., Greenwich, CT 06830
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Online Pharmacy
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Join Our Team
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Home
About Us
Services
Online Pharmacy
Client Center
Join Our Team
Contact Us
Book Appointment

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New clients welcome! Limited time free first wellness exam (terms apply) – Book Now!

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Please note: We are not accepting travel certificate appointments at this time.

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

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Patient Information Form

Save time during your next appointment! Complete your required forms online from any device at any time before your visit.

Name *

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Last

Email *

Primary Phone *

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Secondary Phone

Address *

Address Line 1

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City

State

Zip Code

Who else is authorized to make decisions about your pet's healthcare? *

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Phone

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Please describe any health problems

Please list any known allergies

Please list all current medications

Does your pet have a microchip identification? *

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Any other animals in the household: Name/Species

I give Greenwich Veterinary Center permission to use photos of my pet for publications, including websites: *

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Signature *

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Date *

How were you referred to our practice?

Website

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Online Pharmacy

Shop our online pharmacy for pet meds, flea & tick treatment, healthy dog and cat food, pet treats, and more. Free shipping over $49.

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Get Our Mobile App

Manage your pet’s health faster and easier with the Greenwich Veterinary Center “PetDesk” mobile app, now available for iPhone or Android.

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Get it on Google Play

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Receive Automatic Reminders

Request Appointments 24/7

Your Pet's Organizer App

Save Notes, Pics & Much More

Have a question?

Get in touch by calling, texting, or emailing us! For emergencies, call us at 203-661-1437.

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Address

264 W. Putnam Ave.
Greenwich, CT 06830

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Contact

Text: 203-661-1437

Call: 203-661-1437
Fax: 203-552-0728
Email: info@greenwichveterinary.com

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Hours

Mon – Fri: 8:00 am – 5:00 pm
Sat: 9:00 am – 2:00 pm
Sun: Closed

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Have a question? Complete this form to get in touch. For emergencies, call us at 203-661-1437.

Name *

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Email *

Phone

I consent to receive SMS text messages from Greenwich Veterinary Center. Msg & data rates may apply. Reply STOP to opt-out. *

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