New Client Form

Are you a new client to SCAH? If so, please fill out the following below.

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New Client Form

Thank you for giving us the opportunity to care for your pet! Please help us meet your needs better by taking a moment to share some important information below. You must be 18 years of age or older to complete this form.

 

 

I, the undersigned, am the owner or agent for the owner of the animal(s) described, and I have the full and exclusive authority to execute this consent.

  • I certify that I am 18 years of age or older.
  • I give permission to doctors, staff, authorized agents, or representatives of this hospital to examine, prescribe for, and treat my pets.
  • I agree to pay for all services rendered and medications, goods, and supplies when purchased.
  • I understand that all fees are due at the time services are rendered and the hospital accepts cash, check, and all major credit cards.
  • I understand that a deposit may be required for surgical or medical treatment.
  • I understand that if my pet ever requires overnight hospitalization, there will not be overnight supervision provided.
  • I release this hospital from any and all liabilities.

By my signature below, I hereby acknowledge that I agree to all of the above and acknowledge the receipt of a copy of this agreement upon request.

Did you know we have a Pet Portal? Here, you can view your pet's recent health history, download vaccine certificates, request refills, request appointments, and more!