New Client Form

NEW CLIENT FORM

Owner’s Information

(We do not share email addresses- we use them to send email reminders, special updates, and notices)

Spouse/Other Information

Pet’s Information

DogCat
Another Veterinarian HospitalA new owner (should I re-home my pet(s))A boarding facility or groom shopI DECLINE my pet(s) medical records to be released with notice

Payment Information

Payment in FULL is expected at the time of service.
Professional fees are to be paid at the time services are rendered. Client will be responsible for a 12.5% monthly finance charge on accounts over 30 days and any collection fees on accounts over 90 days.