555 Trinity Creek Cove Cordova TN US 38018
(901) 624-9002

New Patient Form: Dentistry

If your pet has an upcoming Dentistry appointment with Dr. Barden Greenfield, please complete the specialty form using one of the options below. 

OPTION 1
Complete Online

Complete and submit the form below.

OPTION 2
Print & Complete

Bring the completed form with you.

Download PDF

OPTION 3
Complete on Arrival

If you prefer, you can complete the form when you get to our hospital.

Dental & Oral History

Please answer the following questions to the best of your knowledge. 

Post-Procedure Communication

Dr. Greenfield or Tammy/Rayanna (his technician) would like to communicate with you the next day or so following the procedure. This helps us better follow your pet’s progress to normal dental health.
By submitting this form, I agree to the above.

From Happy Pet Owners

  • "Very professional staff. Very competent and to the point when it comes to how you need to continue care once you get home.”
    Wanda S.

(901) 624-9002