• Client Information

  • Patient Information

    Please enter your pet's information below. If you have additional pets, please use the additional columns.
  •  
  • Previous Medical History

    Please reach out to your previous veterinary hospital and request records be emailed to parkavenueah@yourvetdoc.com or faxed to us at 407-884-5654. We will need those in hand before your appointment.
  • Our Hospital Policies

    Thank you for choosing Park Avenue Animal Hospital for the care of your pet. We are proud to provide the highest standards of veterinary care available to maintain the quality life your pet deserves. In order to serve you and your pet(s) to the best of our abilities, please review this statement of hospital policy, initial next to each section and sign below.
  • Office hours are by appointment only. If you bring your pet in without an appointment, you may be asked to wait until an open appointment is available, unless the situation is considered an emergency. Any appointments not previously scheduled may incur a work in/walk in or emergency fee.

  • For the safety of everyone's pets, no animal shall be accepted into the hospital for boarding, bathing, hospitalization, surgery or any situation where the animal is required to stay for any amount of time beyond a standard appointment, without record of up to date vaccinations. Vaccinations required for dogs include Rabies, DA2PP (Distemper,) Influenza and Bordetella (Canine Kennel Cough.) Vaccinations required for cats include Rabies and FVRCP (Feline Distemper.) A negative fecal examination within the past year is also required. If these vaccinations are due at the time a patient is required to stay in our facility, your initials authorizes our doctors to bring any vaccinations up to date that may be due at the time of your pet's arrival. Rabies vaccinations are required for any grooming technician appointments such as nail trims, anal gland expressions, ear cleanings, etc.

  • When leaving your pet at our facility for any reason (dropping off for an exam, boarding, surgery, etc.) please allow 10-15 minutes so that we may process the appropriate paperwork. You may also be asked to wait to speak with a doctor or technician, depending on the situation. For major surgeries, a deposit may be required before taking in your pet.

  • Our facility is not set up for billing. 100% payment is due at the time services are rendered. For your convenience, we accept American Express, Visa, Mastercard, Discover and debit. *We do NOT currently accept Cash or CareCredit.* Please be prepared to offer a secondary form of payment, should your primary method of payment be declined.

  • Our lobby is currently closed for waiting. When you arrive for your appointment you must either call or text us to check in for your appointment.

  • By signing below you verify that you have read, understand and do agree to the terms listed above. Your signature authorizes Park Avenue Animal Hospital and its doctors to provide veterinary care to the animal or animals listed on your original registration form, and additional animals that may be added to your account in the future. 

  • Clear
  •  - -
    Pick a Date
  • Should be Empty:
Jotform Logo
Now create your own Jotform - It's free!Create your own Jotform