Client Information Form

If you are a new client looking to establish care at our clinic, please fill out both the Client Information Form and Patient History Questionnaire. Please be aware that our appointment availability for new patients is extremely limited, but we are doing our best to see as many kitties as possible.

With our current backlog of patients waiting to establish care, our appointments for new clients are typically booking out approximately 2 months. Unfortunately, we are not able to accommodate any critical new patients; if you have an immediate concern about your kitty's health, we recommend reaching out to one of the local emergency clinics for assistance.

One you have filled out both forms, we will be able to add you to our wait list for a new patient appointment opening and will reach out to you with our next available appointment. Please be aware that, due to the high volume of requests coming in, it can take several weeks for a staff member to reach out to you with an appointment option.

New patient exams currently range from $140-$175, with general appointment fees for established patients currently $88 and same-day urgent care exams, when available, currently $140.

Thank you for your patience as we work to coordinate an appointment time with one of our doctors.

Owner Information

First & Middle Initial

Last

Address

City

State

Zip Code

Home Phone

Work Phone

Cell Phone

Email Address

Preferred

Employer

Position

Spouse or Partner

First & Middle Initial

Last

Employer

Position

Work Phone

Emergency Contact

Name

Relationship

Phone

Cat(s)

Please include a list of your cat's names:

How Did You Find Us?

Other

Whom may we thank for referring you to us?

Optional: If applies, reason for changing veterinarian

Financial Policy:
I hereby authorize the veterinarian to examine, treat, and prescribe for the above-described animal(s). I assume all responsibility for all charges incurred in the care of this animal. I understand that payment is due at time services are rendered and that there may be a deposit required for any hospitalized treatment. Acceptable forms of payment are cash, checks (up to the amount of $300.00), debit and credit cards (Mastercard/Visa/Discover) and Care Credit.

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