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New Client Form

Rustic Line

We’re glad you’re here!

If you’re a new client and would like to schedule an appointment, you can help streamline your visit by completing the form below before you arrive. This allows our team to prepare for your pet’s needs and make your check-in as smooth as possible.

We look forward to partnering with you and your pet in care, and we appreciate the opportunity to support you both.

Download New Patient Form

"*" indicates required fields

This field is for validation purposes and should be left unchanged.

Pet Owner/Client Information:

Address**
MM slash DD slash YYYY

Pet Information: (For more than one pet, ask for an additional pet form)

MM slash DD slash YYYY
Please check any symptoms your pet is currently showing

300 words max

I Approve My Pet’s Picture and Their First Name to be Used in Social Media
** Please bring in a stool specimen so we can check for parasites **
Authorization:

I authorize the veterinarian to examine, treat, or prescribe for my pet(s). I assume responsibility for all charges incurred in the care of the animal(s). I also understand that all professional fees are due at the time services are rendered.
Returned check fee: $20

SMS Consent
Email Consent