507-234-6929
srvc@hickorytech.net
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Pet New Puppy and Kitten Care
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New Client Form
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Canine Spay Consent Form
Feline Spay Consent Form
Dental Procedure Form
Canine Neuter Consent Form
Payment Options
FAQs
MN Emergency Clinic List
Careers
Contact
Book Appointment
Home
About Us
Our Team
Reviews
Photo Gallery
Our Services
Pet New Puppy and Kitten Care
Pet Adult Prevention Care
Pet Laser therapy
Pet Wellness Care
Pet Surgery
Pet Dental Care
Pet Radiology
Pet Laboratory
Pet Ultrasound
Pet OFA certification
Pet Allergy Testing & Genetic Testing
Helpful Resources
Online Forms
New Client Form
General Surgery Consent Form
Feline Neuter Consent Form
Feline Declaw Consent Form
Canine Spay Consent Form
Feline Spay Consent Form
Dental Procedure Form
Canine Neuter Consent Form
Payment Options
FAQs
MN Emergency Clinic List
Careers
Contact
Book Appointment
New Client Form
Save time during your next appointment! Complete your required new client form online from any device at any time before your visit.
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New Client Form
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Name
*
First
Last
Email
*
Primary Phone
*
Secondary Phone
Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
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State
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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?
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.
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