New Client Registration Form

New Client Registration Form

Thank you for considering our hospital as your pet’s provider of veterinary services. We are dedicated to maintaining the health of your pet and look forward to many future years together.

Please complete this form as fully as possible prior to your first appointment which will help expedite the registration process and give us valuable insight in providing optimal care for your pet(s). The required sections have a red * asterisk.
  • Owner's Name

  • Co-owner's Name & Contact #

  • Pet Information

  • We ask that our clients provide a minimum of 24-hour notice for appointment rescheduling or cancellation. If 3 or more appointments are missed in a 6-month period, we require a deposit for exam cost ($53) in advance for future appointment scheduling, which the provider has right to charge for any additional missed appointments.
  • Appointment Date and Time
  • By entering your name below, I agree to pay in full for all treatments provided to my pet(s) by Old Towne Animal Hospital. I understand that all fees are due at the time of service. Any charges left unpaid will be sent to collections.
  • Date Format: MM slash DD slash YYYY

We want your feed back!
Please take the time to participate in this brief survey.

Location Hours
Monday7:30am – 6:30pm
Tuesday7:30am – 6:30pm
Wednesday7:30am – 6:30pm
Thursday7:30am – 6:30pm
Friday7:30am – 6:30pm
Saturday7:30am – 6:30pm
Sunday7:30am – 6:30pm

We are proud to be AAHA certified! Learn more about what this means for you and your pet.