New Client Form
  • Todays Date
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  • Date of Appointment*
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  • Owner's Date of Birth*
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  • All fees are due at the time services are rendered. Please indicate choice of payment*
  • How did you become aware of our hospital?*

  • Species*
  • Pet's Gender*
  • Spayed/Neutered?*
  • Does your pet do any of the following during Travel? Select all that apply*
  • How would you describe your pets behavior during travel?

  • Are there any situations that your pet has tried to avoid or seemed to dislike in the past? Select all that apply.*
  • Is this pet covered by pet insurance?
  • We love sharing photos of our wonderful clients! Do we have your consent to share your pet's image on our social media channels and website? We will never use your full name and personal information
  • Species*
  • Pet's Gender*
  • Spayed/Neutered?*
  • Does your pet do any of the following during Travel? Select all that apply*
  • How would you describe your pets behavior during travel?

  • Are there any situations that your pet has tried to avoid or seemed to dislike in the past? Select all that apply.*
  • Is this pet covered by pet insurance?
  • We love sharing photos of our wonderful clients! Do we have your consent to share your pet's image on our social media channels and website? We will never use your full name and personal information
  • Species*
  • Pet's Gender*
  • Spayed/Neutered?*
  • Does your pet do any of the following during Travel? Select all that apply*
  • How would you describe your pets behavior during travel?

  • Are there any situations that your pet has tried to avoid or seemed to dislike in the past? Select all that apply.*
  • Is this pet covered by pet insurance?
  • We love sharing photos of our wonderful clients! Do we have your consent to share your pet's image on our social media channels and website? We will never use your full name and personal information

  • Client Code of Conduct

    At Advanced PetCare of Oakland, we strive to create an environment to ensure comfort for our patients, their families, and our staff to attend to the dogs, cats, and small mammals that you entrust to our care. In order to provide a welcoming and safe environment for everyone, we will not accept the following behaviors: Verbal abuse, malicious or harmful statements about others, profanity or disrespect directed at any member of our staff Any form of harassment including cyberbullying, discriminatory comments, and/or threats, etc. Physical intimidation or assault Any objectionable behavior that disrupts our business and disturbs our veterinarians, technicians, support staff, clients, and/or patients. This policy is strictly enforced, and non-compliance will result in corrective measures being taken. In the event your behavior is problematic, we reserve the right to discontinue services immediately. These policies are strictly enforced and non-compliance could result in being asked to leave the premises, and up to termination of the doctor/patient relationship.

     

    Payment Agreement 

    I assume responsibility for all charges incurred in the care of my/our animal(s). I also understand that these charges will be paid at the time of release and that deposit may be required for surgical treatment. I understand that if I do not cancel my appointment with a minimum of 24 hours ahead of time there will be a cancellation fee. Any unpaid balance will be sent to collections, for which I agree to reimburse Advanced PetCare of Oakland the fees of any collection agency, which may be based on a percentage of 32% of the total amount plus 7% interest, as well as costs and expenses, including reasonable attorney's fees we incur in such collection efforts.

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