We are looking forward to meeting you and your pets! Please fill this form out prior to your visit. If you would prefer to fill out a physical form and bring it with you, you can download our Welcome Form.

New Client Information

  • Owner Information

  • Your birth date is required to prove that you are over the age of 18.
  • Your driver's license number will be required if you were to every pay with a check. Personal checks are accepted from established clients only.
  • Co-Owner Information

  • Pet Information

  • If you are not sure of the exact birth date, please provide an approximate date of birth.
  • If yes, please select the insurance company. We do NOT accept United Pet Care.
  • Additional Pet Information

  • If yes, please select the insurance company. We do NOT accept United Pet Care.
  • Authorization

  • By checking this box, you are agreeing to the following terms: PAYMENT IS DUE AT TIME OF SERVICE. We accept Cash, Personal Check from established clients with verification of a current Driver’s License, VISA, MasterCard, Discover, American Express, ATM/Debit, ScratchPay, and Wells Fargo Health Advantage. You understand and agree that in the event of default, to pay reasonable collection and/or attorney fees. You authorize FAH to photograph my pet for medical records and social media purposes. You agree to allow Demandforce (internal reminder system) to use this information in providing your services, including contacting you via Text and e-mail.
  • This field is for validation purposes and should be left unchanged.