New Client Form

Save time at your first appointment. Complete your required new client form online before your visit.

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New Client Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pet before your visit.
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Quality Care With a Gentle Touch

Welcome to our clinic and thank you for putting your trust in us. To ensure the best possible care for your pet(s), please fill out this form in its entirety.

Owner Information

Owner's Name
Spouse
Address
How did you hear about us?

Pet Information

Pet 1

Species
Sex
Is your pet Microchipped?

Pet 2

Species
Sex
Is your pet Microchipped?

Pet 3

Species
Sex
Is your pet Microchippped?
If you allow, we can upload your pet photo to social media

Vaccination Information: We accept printed documentation of vaccines administered by a licensed veterinarian. For your pet's safety as well as all other pets, we require vaccinations to be current in order for a pet to stay at our facility (hospital, boarding, grooming). Please ask our staff for a list of the required vaccinations.

I, as owner or owner’s representative, authorize treatment for the above listed pet. If any unforeseen medical needs arise and I am not available, I grant permission for any necessary care to be administered. I understand that I assume financial responsibility for all services rendered. This shall be assumed any time my pet is left in the care of Fort Henry Animal Hospital.

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