New Client Registration Form

Thank you for considering our hospital as your pet’s provider of veterinary services. We are dedicated to maintaining the health of your pet and look forward to many future years together.

Please complete this form as fully as possible prior to your first appointment which will help expedite the registration process and give us valuable insight in providing optimal care for your pet(s). The required sections have a red * asterisk.
  • Owner's Name

  • Co-owner's Name & Contact #

  • Pet Information

  • Financial Policies

  • For you and your pet's benefit:
    • A HealthCare Plan or estimate will be provided prior to the providing of services.
    • All of our fees are due and payable at the time that treatment is rendered.
    • For pets that are hospitalized, we will request a deposit of at least %50 of the HealthCare Plan at the time of admission.
    • We will update you daily on both your pet's clinical condition and the status of your account.
    • Payment in full is required at the time of pick up.
    • We accept the following forms of payment: Cash Check MasterCard Visa American Express Care Credit (ask us for more information if you have not heard of Care Credit)
    • We suggest that you purchase pet insurance for all eligible or insurable pets
    • We believe in the value of clear communication as well as mutual understanding and respect.
    • We believe that our clients would like to know and understand our financial guidelines in advance of their pet's treatment.
    • We are happy to discuss the HealthCare Plan and our practice guidelines with you at anytime.
    • To be able to offer the level of care and service that we do, we cannot deviate from these outlined policies.
  • SURGERY DEPOSIT FEE
    A $75 deposit is required to schedule any procedure. This deposit is collected at the time surgery is scheduled and will stay on your account as a credit to be used toward your pet’s procedure. If you need to reschedule or cancel your pet’s procedure, please let us know more than 24 hours in advance or the deposit will be forfeited.

    NO SHOW POLICY
    A $50 deposit is required if a client accumulates three or more no show appointments or fails to provide a 24- hour notice of cancellation. Clients will be required to pay $50 deposits on all future appointments. If you need to reschedule or cancel your pet’s procedure, please let us know more than 24 hours in advance or the deposit will be forfeited.