Please fill out our New Patient Form using one of the options below if your pet is a new patient at Veterinary Medical Associates.

Option 1

Complete Online

Complete and submit the online form below.

Option 2

Complete on Arrival

If you prefer, fill out the form when you get to our hospital.

New Patient Form

Owner Information

Patient Information

Signature

I assume all financial responsibility for charges incurred in the care of this animal. I also understand that these charges will be paid at the time of release and that a deposit may be required prior to treatment. Veterinary service is provided during nighttime hours as needed in the judgment of the veterinarian in charge. If after hour emergency care is needed, your pet may be transferred with your permission to the Veterinary Emergency Clinic for the continuous presence of qualified personnel.
By submitting this form, I hereby authorize Veterinary Medical Associates 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 Veterinary Medical Associates.