Name *

First

Last

Email *

Primary Phone *

Secondary Phone

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Who else is authorized to make decisions about your pet's healthcare? *

First

Last

Phone

How did you find out about our hospital? If you were referred by someone, who should we thank? *

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

Yes
No

What is the microchip number?

Do you have a second pet? *

Yes
No

Pet's 2 Name

Pet's 2 Species (dog, cat, etc.)

Pet's 2 Breed

Pet's 2 Age/Date of Birth

Pet's 2 Sex

Male
Neutered Male
Female
Spayed Female

Does your pet 2 have a microchip identification?

Yes
No

What is the microchip number for pet 2?

Payment is due in full at the time that services are performed. If being admitted into the hospital, we cannot begin the care of your Pet until you have confirmed your desire to do so by 1) signing the client consent & estimate form, and 2) leaving an initial deposit of 50% of the upper end of the estimate. This is the only way that we have of knowing for certain that you want us to proceed with the care of your Pet. We accept Cash, Visa, MasterCard, Discover, and CareCredit payments. We neither extend credit, nor bill for services. All open invoices are sent to collections after 45 days unless prior arrangements are made. *

I have read and accept the financial policy.

Now Welcoming New Clients! Have a sick pet? Need to get in quickly? Call us or book online, any time!

New Client Form

New Client Form

Book Appointment

We Proudly Serve The Pets of Greensboro, NC, And Beyond

Location

Contact Information

Our Hours

Location

Contact Information

Our Hours

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