Thank you for choosing us to care for your pet! We’re experiencing a high volume of new client requests, and in order to continue providing the best care for all of our patients—both new and established—we kindly ask that new clients complete our New Client Form (NCF) before scheduling an appointment. Once the form is submitted, we will reach out to you to start the scheduling process.  The NCF will ask if you prefer Email or text for us to get in touch with you.

To help us manage our appointments and ensure availability, we are also introducing a Deposit, payable at the time you schedule your first appointment. This Deposit guarantees a hold for your appointment and will be applied to your account, counting towards the costs of your pet’s exam. We have a cancellation policy that if you need to cancel or reschedule, you must do so at least 24 hours before your scheduled appointment. The Deposit will be forfeited if the appointment is cancelled with less than 24 hours’ notice, or in the case of a no-show.

We appreciate your understanding and cooperation as we strive to provide exceptional care for all of our patients. Your pet’s health is our priority, and we look forward to serving you!

Full Name:

Pronouns:

Email:

Phone Number (mobile):

Phone Number (home):

Significant Other/Secondary Name on Account (if applicable):

Pronouns:

Phone Number (Significant Other/Secondary Name on Account):

What is the best way for us to reach you to schedule your first appointment? (Email or text?)

Address Line 1:

Address Line 2:

City:

State:

Zip:

Place of Employment:

How did you hear about us?

Do you have a doctor preference? Dr. Kristine Collins/Dr. Pamela Sanftleben/Dr. Molly Miszkiewic/ Dr. Jamie Buhk/Dr. Laura Oxley-Patterson

If referred by a friend or family member, who can we thank for your referral?

Day of Appointment (leave blank if none scheduled):

Previous Veterinary Clinic:

Previous Clinic’s Phone Number:

Do we have permission to contact the clinic listed above for records?

If “No” please provide a reason:

Would you like us to register you for our online pharmacy?

Pet’s Name:

Species:

Breed – we love them all <3:

Color:

Birthdate/Estimated Age:

Sex:

Neutered/Spayed?

Are They Microchipped?

How do they feel about coming to the vet?

Anything else we should know about your pet? (ex. Medical issues, allergies):

Second Pet’s Name (if applicable – if not applicable skip to submit):

Species:

Breed:

Color:

Birthdate/Estimated Age:

Sex:

Neutered/Spayed?

Are They Microchipped?

How do they feel about coming to the vet?

Anything else we should know about your pet? (ex. Medical issues, allergies):

I have read and understand the client expectations and cancellation policy: