Dear Client:

Thank you for choosing us to care for your pet!
In preparation for your upcoming appointment, please complete the enclosed forms and either email this form to us at brunswickveterinaryhospital@gmail.com, fax to 518-244-3290, or please come 10 minutes early to your appointment and bring this form with you on your first visit.
Completing and returning the forms in advance will allow us to ensure our documentation is accurate before the visit so that we can have more time to focus on your areas of concern.
Please also have any records from previous veterinarians faxed or emailed to us in advance so that we may have time to review them prior to your appointment.
We look forward to seeing you!

The Doctors and staff at the Brunswick Veterinary Hospital

New Client/Owner Information (Please Print)

*Please note email address is optional. BVH does occasionally send out seasonal promotions and your pet(s) reminder(s)

Pet Information - Please use the back of this page for additional information.

Pet #1:

Pet #2:

Pet #3:

I, the undersigned, agree to pay for all services at the time they are rendered.

*We accept cash, check, Visa, Mastercard, and Care Credit. A $35.00 return fee will apply for returned/bounced checks. A $35 late fee will also be applied for any accounts more then 30 days past due. A deposit prior to treatment may be required depending upon the amount of the estimate.

Brunswick Veterinary Hospital loves making pets Facebook famous! Please give us your permission to share your pet(s) image and/or story on social media, our website, and other marketing materials with your signature below. Your personal information will NEVER be shared.