New Patient Form

If your pet is a new patient at Animal General we ask you to please fill out our New Patient Form using one of the options listed below.

Request Appointment

Option 1

Complete Online

Fill out and submit the online form below.

Option 2

Print & Complete

Print and bring the completed form with you to your appointment.

Download Form

Option 3

Complete on Arrival

Fill out the form when you come for your appointment.

New Patient Form

Owner Information

Emergency Contact

Patient Information

Primary Veterinarian Information

Please fill this section in if we are not your primary care veterinary hospital. By listing your primary care veterinarian, you are authorizing Animal General to release patient information to the primary care hospital or veterinarian.
By submitting this form, I hereby authorize Animal General to render medical care for my pet(s) as deemed necessary by the veterinarian. I understand that no guarantee can be given to the outcome of treatments and take it as my responsibility to comprehend any risks involved. I agree to pay for the cost of all services to which I consent to by written or verbal estimate. I understand that a deposit is required before diagnostics and treatments can be initiated and that payment in full is required prior to discharge of patient from Animal General.