New Pet Form
Please give any previous records to the receptionist so we may copy them for our records.
Has your pet had any of the following
Is your pet current on their rabies?
I hereby authorize Animal Health Clinic to examine, prescribe for and treat my pets. I assume responsibility for all
charges incurred in the care of my animals. I also understand that these charges will be due at the time of release and
that a deposit may be required for surgical treatment or hospitalization. We will gladly prepare a written estimate for
your pet's care at any time. Just ask one of our staff members.