DOVE CREEK ANIMAL HOSPITAL
NEW CLIENT FORM

Welcome to our Hospital!  Please complete this form so that we can prepare a medical record for your pet(s). This will help us to serve you better.  Thank you!

“Your Other Family Doctor”

How Did You Learn About Our Hospital?

Please Tell Us About Your Pets

Gender
Neutered/Spayed?
Gender
Neutered/Spayed?
Gender
Neutered/Spayed?
Gender
Neutered/Spayed?

Previous Veterinarian/Clinic Name and City, State

List any chronic problems and /or any medication(s) your pet is currently taking

I agree to the following terms:

WE ACCEPT CASH, CHECK, VISA, MASTERCARD, DISCOVER, AMERICAN EXPRESS AND CARE CREDIT. I UNDERSTAND THAT ALL FEES MUST BE PAID AT THE TIME SERVICES ARE RENDERED.

RETURNED CHECKS WILL BE SUBJECT TO A $30 FEE AND WILL REQUIRE PAYMENT IN FULL WITHIN 5 DAYS OF RETURN DATE. CHECKS WRITTEN ON CLOSED ACCOUNTS (“HOT CHECKS”) WILL BE SUBJECT TO A $30 FEE AND WILL BE FILED WITH THE OFFICE OF PAUL JOHNSON, DENTON COUNTY DISTRICT ATTORNEY.

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