New Client Registration Form

NEW CLIENT INFORMATON

For clients having animal behavior consultations, please provide the following contact information:

I assume financial responsibility for all charges incurred, and agree to pay all such charges at the time services are rendered or as arranged prior to examination and/or treatment. I understand that payment types accepted are cash, debit/credit cards (Visa, Master Card, American Express, or Discover), Citi Health Cards, and PetPlan insurance, but not personal checks.

Please prepare a New Patient Registration Form for your pet too

Enter the verification code in the box below.