New Clients

For new clients with furred, feathered and/or scaled friends please visit Exotic and Pocket Pets to download your new client form(s).

Download New Client Form

Owner Information
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Email*
Primary Phone*
Place of employment
Add another owner?*
- Yes
- No
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Email*
May we contact you via email?*
- Yes
- No
Secondary Phone Number*
Place of employment
Would you like to receive email notifications for your pet’s health care?
- Yes
- No
We love sharing cute pictures of our patients on our website and social media. May we use your pet’s picture?
- Yes
- No
Pet information
Name*
Species*
- Cat
- Dog
- Other
Sex*
- Male
- Female
- Spayed Female
- Neutered Male
Breed and Color
Date of Birth or Age*
Previous veterinarian(s) where records could be obtained?
Add a second pet?*
- Yes
- No
Name*
Species*
- Cat
- Dog
- Other
Sex*
- Male
- Female
- Spayed Female
- Neutered Male
Breed and Color
Date of Birth or Age*
Previous veterinarian(s) where records could be obtained?
Add a third pet?*
- Yes
- No
Name*
Species*
- Cat
- Dog
- Other
Sex*
- Male
- Female
- Spayed Female
- Neutered Male
Breed and Color
Date of Birth or Age*
Previous veterinarian(s) where records could be obtained?
Date*
MM slash DD slash YYYY
Signature (Please type your full name below)*

I, the undersigned, 1) Assume responsibility for all charges incurred in the care of my pet(s), agreeing that these charges will be paid at the time of release and that a deposit may be required for treatment. 2) Give permission for release of my pets medical records from the above-listed veterinarian.

Days	Hours
Monday – Friday	8:00AM – 6:00PM
Saturday	8:00AM – 12:00PM
Sunday	Closed

Owner Information

Pet information