New Patient Form

Thank you for giving us the opportunity to care for your pet. Please help us meet your needs better by taking a moment to complete this information sheet.

Client Information:

Pet Information:

Authorization

I hereby authorize the veterinarian to examine, prescribe for, and treat my animal(s). I assume responsibility for all charges incurred in the care of my animal(s). I also understand that payment is due at the time of service. I have read and understand this policy and I accept responsibility for all fees. Family Pet Hospital accepts all major credit cards, cash and Care Credit.

Additional Pets