New Client Application

After a long 2 years, we are now able to take on a limited number of new patients. We plan to do so in a gradual and conscientious way, so that we may continue to provide timely, quality care to our current and future patients. For this reason, we ask that all prospective new clients fill out the New Client Application form below. By reviewing applications in advance, we can carefully manage our doctors’ caseloads, and ensure that our hospital will be a good fit for you and your pet’s needs.

As a privately owned, small community clinic, our goal has always been to establish long term relationships with our patients and clients. To meet our existing clients’ needs, we are unable to provide emergency care to pets we have not yet seen.

Please note that submitting this form does not secure an appointment. As our doctors’ schedules allow, our team will occasionally review these applications and get in touch as space becomes available. .

* You will receive a phone call roughly 2 to 4 weeks after submitting your application. We do not accept applications for emergency/urgent situations as this process can take between 2 to 4 weeks. Please contact your local emergency Hospital. *

Date
Date Format: MM slash DD slash YYYY
Name*
First Last
Phone*
Secondary Phone Number
Email*
Species*
- Cat
- Dog
Pet's Name*
Breed
Age
Sex*
- Female Intact
- Male Intact
- Female Spayed
- Male Neutered
Does your pet have any health conditions or are they on any medication(s)?*
Do you currently have a veterinary clinic in this area? Please indicate clinic name*
Do you consent to us obtaining your pet's medical records from your previous clinic?*
- Yes
- No
Why do you want to switch clinics?
When is your pet due for their next checkup?
How did you hear about our hospital?