New Client Registration Form
*** New clients are required to pay a one time non-refundable deposit to hold their appointment. The deposit will be credited to their account and applied to the first invoice.

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.

"*" indicates required fields

“Where education and positivity create long lasting friendships and healthy pets.”

Thank you for giving us the opportunity to care for your pet. We are happy to answer any questions you have about your pet’s health! To ensure the best care possible, please fill out this form completely.

Owner's Name*
Co-Owner's Name
Address*
In Case of EMERGENCY, please call:
Name
Phone
May we text or email you as needed?*
Preferred phone number for us to contact you?*
May we leave results at your primary phone or email*
Employer Address
May we use pet’s photo in social media?*
By choosing YES you are authorizing Arbor Hills Veterinary Clinic to publish information/photos/videos from my pet(s) visit through their social media platforms. No signalments or names may be used to protect my identity. I understand that in no form will I (the owner) or my pet(s) be slandered. This is for education purposes only.
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    24 HOURS NOTICE REQUIRED FOR CANCELLATION, FAILURE TO DO SO WILL RESULT IN A NO CALL/NO SHOW. TWO NO CALL/NO SHOWS ACCUMULATED IN A 60-DAY PERIOD WILL RESULT IN BEING REQUIRED TO PRE-PAY ALL EXAM FEES BEFORE SCHEDULING ANY APPOINTMENTS. THREE NO SHOWS OR RESCHEDULES ACCUMULATED IN A 90-DAY PERIOD WILL RESULT IN DISMISSAL FROM OUR PRACTICE.

    AUTHORIZATION: I HEREBY AUTHORIZE THE VETERINARIAN TO EXAMINE, PRESCRIBE FOR, OR TREAT THE PET(S) LISTED ABOVE. I ASSUME RESPONSIBILITY FOR ALL CHARGES INCURRED IN THE CARE OF THIS ANIMAL. I UNDERSTAND THAT THESE CHARGES MUST BE PAID AT THE TIME OF RELEASE AND A DEPOSIT MAY BE REQUIRED FOR TREATMENT.

    MM slash DD slash YYYY
    This field is for validation purposes and should be left unchanged.