• New Client Registration Form

  • Welcome to Delaware Animal Clinic! Thank you for trusting us with your pet’s health.
    Please take a moment to tell us about you and your pet.

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • *Please note: We do not send paper reminders. If you wish to receive pet care reminders, clinic announcements or pet visit summaries, we require an e-mail address.*

  • Pet Information

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  • Core values

    As part of our core values we strive to provide client education through open, honest, and kind communication. We anticipate all interactions with staff to be considerate. Delaware Animal Clinic is a private entity and reserves the right to permanently dismiss any client for disrespectful or offensive behavior towards any member of our staff.

    Important Financial Information

    All payments are due when services are rendered. We accept Cash, Visa, Master Card, Discover & American Express. We also offer Care Credit & Scratchpay as options for financing - application can be provided in clinic. We do not offer in-house financing for services.

    I am requesting that veterinary care be provided for pet(s) presented by me or my agents. I understand that I am financially responsible for all services provided. I understand that the hospital staff will provide an estimate of current and anticipated charges any time I request one. I understand that if I do not pay for this account as agreed, the account is held subject to costs of collection ($150) and attorney/court fees. If no payment is received in 30 days, we reserve the right to report to a collection agency.

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