• New Client Form

    New Client Form

  • Client Information

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • What is your preferred method of contact?*
  • May we text you with lab results?*
  • Do you give permission for us to post pictures/videos of your pet on our social media accounts?*
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • No Show/Cancellation Policy

  • Clinic Policies

  • Thank you for choosing Animal Family Veterinary Care Center for your pet’s care. Any time you schedule an appointment or procedure, we set aside time to provide you and your pet the highest level of care. We understand unforeseen circumstances happen; however, if you need to cancel or reschedule an appointment or procedure, in order to avoid a penalty, we need a 24-hour or more notice prior to your visit, so that we can help another pet in need.  


    Our "no show"/cancellation policy is as follows:
    A "no show" is a client who misses an appointment, or procedure, without cancelling it ahead of time. A failure to be present at the time of a scheduled appointment/procedure will be documented in the patient's chart as a "no show". 


    The first time there is a "no show", we will give you a call or send a text alerting you of the missed appointment/procedure and remind you of our "no show"/cancellation policy.


    The second occurrence will result in a non-refundable deposit of $75 being required when scheduling future appointments/procedures. The $75 will be applied to the total balance if the appointment/procedure is kept. The $75 will be forfeited, however, if the scheduled appointment/procedure is not kept or a cancellation/reschedule is not made 24 hours prior to the appointment/procedure. 


    As legal owner or responsible agent of the above animal, I certify that I have read and understand the "no show"/cancellation policy.

  • Financial Policy

  • Animal Family Veterinary Care Center requires payment in full for professional services when your pet is discharged from the hospital. As legal owner or responsible agent of the above animal, I certify that I have read and agree to this financial policy. I hereby assume financial responsibility for all services rendered

  • Choice of payment (Select all that apply)*

  • Pet Information

  • Date of Birth*
     - -
  • Does your pet have an I.D. Microchip*
  • How would you describe your pet's temperament?
  • How many hours a day does your pet spend outside?*
  • What concerns do you have about your pet? (select all that apply)*
  • Has your pet ever been prescribed anxiety medication to help with visits before?*
  • Do you currently have health insurance for your pet?*
  • Are you interested in learning more about pet health insurance?*

  • Comfort and Temperament

  • How would you describe your pet's reaction when going to the vet?*
  • Are there certain things you and/or your pet do not like while at the vet?*
  • How would you describe your pet around other animals, such as in a waiting area?*
  • How and where does your pet travel in the vehicle?*
  • Is your pet reluctant when getting into the carrier or vehicle?*
  • Have you seen any of these behaviors while in the car?*
  • Does your pet experience any nausea while traveling?*
  • Which is most important to you?

  • If your pet has experienced any vomiting or diarrhea recently please bring in a fresh stool sample

  • Thank you! We look forward to seeing you at your appointment.

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