Thank you for giving us the opportunity to care for your pet(s). To ensure the best care possible, please fill out this form completely.
For your protection and that of others, pets should be properly restrained by a leash or carrier upon arrival. If your pet requires special accommodations, please give us a call when you arrive so we can assist you and your pet.
If you must cancel an appointment, we ask for 24 hours’ notice. For surgical appointments, we ask for a 48-hour cancellation notice.
We accept cash, debit, or all credit cards. We also offer Care Credit or ScratchPay financing to help make the highest quality care accessible to all our patients.
We would be more than happy to fill your prescriptions or have your food orders ready for pick-up. Please call ahead or use our website to process refills. Please allow 24-48 hours for prescription refills. Special orders or controlled substances may require longer. We do not authorize online pharmacy requests by phone or fax. If you need a written prescription to be processed at the pharmacy of your choice, you will need to pick them up in person.
I hereby authorize the veterinarian to examine, prescribe for, or treat the above described pet. I assume responsibility for all charges incurred in the care of this animal. *I have read and agree.I understand that payment is ALWAYS DUE IN FULL at time of service. A deposit of 50% of the treatment plan may be required before treatments or hospitalization of your pet. I recognize that financial concerns should be discussed PRIOR to examination and treatment. *I have read and agree.Do we have your permission to share your pet’s image and story on our social media, website, and other forms of related media? *YesNoI authorize my emergency contact below (other than myself) to pursue treatment if I am unavailable. Emergency contact must be an adult over the age of 18. *I have read and agree.Emergency Contact *FirstLastEmergency Contact Phone *Clear SignatureDate *File Upload
Click or drag files to this area to upload.
You can upload up to 5 files.