• New Client/Patient

    Registration
  • Welcome to Animal Medical of Chesapeake

    Thank you for giving us the opportunity to care for your pets. We strive to provide the highest quality healthcare available with compassion and convenience.

  • Patient Info

    Pet #1
  • Pet #2

  • Pet #3

  • Authorizations & Notices


  • I hereby authorize the veterinarian to examine, prescribe for and treat the above described pet(s All payments are required at the time of service. I assume responsibility for all charges incurred in the care of this/these animals. I understand that appropriate forms of payment include:

    Cash, Check, Visa, Discover, MasterCard, Debit Cards, Scratchpay and Care Credit. 

    WE DO NOT ACCEPT AMERICAN EXPRESS OR $100.00 BILLS!

  •  / /
  • Peanut Clause

  • I have been advised and understand that "continuous care"/hospitalization as defined by the state legislatre (i.e.: the 24-hours presence of a veterinarianI is not available after normal office hours. "Continuous care" is available after hours at the emergency clinics. Any animal left in the clinic after normal office hours will be left unattended.

    Office hours are as  follows: There is no staff on duty during the folling hours:

     

    Monday

    7:30 a.m.-7 p.m.

    Tuesday-Friday

    7:30 a.m.- 6 p.m. 

    Saturday

    8 a.m.-12 p.m.

     

    Monday

    7:00 p.m.-7:30 a.m.

    Tuesday-Saturday

    6:00 p.m.-7:30 a.m.

    Saturday-Monday

    12:00 p.m-7:30 a.m.

     

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