New Clients

We are happy to provide veterinary services to the pets of Chapel Hill, North Carolina and neighboring communities including Durham, Carrboro and Hillsborough.

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