2378 US Highway 190 West Jasper, TX 75951

2378 US Highway 190 West Jasper, TX 75951

New Client Form

Welcome

We are pleased to welcome you to our practice. Please take a few minutes to fill out this form as completely as you can. If you have any questions we'll be glad to help you. We look forward to working with you in maintaining you pet's health.

Client Information

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Pet Information

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For what purpose was this pet obtained?
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Pet's history (check all that pet has received)

Describe Any:

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Payment

We will gladly prepare a written estimate of service fees if you desire (please ask our doctor or receptionist). All professional fees are due at the time services are rendered. In case of extensive medical or surgical procedures where full payment may be difficult at discharge, we accept major credit cards or can establish a payment arrangement if approved in advance of treatment. There will be a service charge for any check returned unpaid.

To prevent the spread of infectious diseases, all hospitalized patients must be current on all vaccines and free from internal and external parasites. The signature below authorizes this level of preventive care and appropriate charges will be assessed in the discharge invoice.


Please sign___________________________

HOURS

Monday  

8:00 am - 5:00 pm

Tuesday  

8:00 am - 5:00 pm

Wednesday  

8:00 am - 5:00 pm

Thursday  

8:00 am - 5:00 pm

Friday  

8:00 am - 5:00 pm

Saturday  

Closed

Sunday  

Closed

Location

Find us on the map

CONTACT US

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