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Neighborhood Vet Dog & Cat Wellness Clinic provides primary vet services. We are your first source for pet healthcare. If your dog or cat is in need of advanced care including x-rays, surgery, hospitalization, dentistry, or sedation/anesthesia we will refer you to a full service vet hospital. Would you like to continue scheduling a visit at Neighborhood Vet?* This field is required.

YESNO

We wish that all pets receive the care they deserve. If you need help finding a full service veterinary hospital please let us know.

For urgent care or emergencies:

Savannah Veterinary Emergency Clinic

335 Stephenson Ave, Savannah, GA 31405

savannahvetec.com

(912) 355-6113

New River Veterinary Specialists

600 Argent Blvd, Hardeeville, SC 29927

https://nrvets.com/

(843) 898-6787

Urgent Pet Care of Savannah

https://urgentpetcaresav.com/

11102 Abercorn Street
Unit A
Savannah, GA 31419

(912) 401-0290

Name

First Name

Last Name

Is anyone else allowed to make medical decisions for your pet or is a legal guardian?* This field is required.This can include a spouse, partner, friend, family member, pet sitter, etc.

Yes

Secondary ContactPerson able to make medical decisions regarding your pet.

Name

Relationship (Optional)

Phone Number

Mailing Address

Additional Information

Emergency ContactIn case you are unreachable whom may we contact in an emergency or urgent situation.

Name

Phone Number

Additional Information (if necessary)

How did you hear about us?Thank you for helping us grow.

Word of Mouth

Web Search

Saw the clinic

Social Media

Flyer/Advertisement

Another Vet

Other

Anyone we can thank for referring you to our clinic?Referrals greatly help our small business.

Name or Information

Would you like more information on these topics?Select as many as you like.

Payment Options

Pet Insurance

Online Shopping

Telemedicine

Service Bundles

General Pet Education

Any requests to make your visit better?We strive for happy customers

MEDICAL PHOTOS & VIDEOS: We use pictures and/or videos of your pet as part of the confidential medical record to identify your pet and to monitor certain conditions for "Before Treatment" and "After Treatment" purposes. Are you okay if we take and use pictures of your pet for your pet's medical record? These photos and videos are not for public viewing.* This field is required.

I Consent

I Do Not Consent

PROMOTIONAL PHOTOS & VIDEOS: We use pictures and/or videos of you and/or your pet for social media, online posts, marketing, and website to highlight our patients, services, and products and to educate others. These photos and videos are for public viewing. PHOTO RELEASE CONSENT: I hereby grant Neighborhood Vet the permission to take and/or share images of myself, my family members, and/or my pets, as specified below. I authorize the publication of these photographs for any lawful purpose, including, but not limited to, the hospital website, social media accounts, promotional materials, and veterinary medical forums, in digital or print, for an indefinite period. I understand that my name and any personal information will NOT be shared, but my pet's name may be included in the publication. By providing this consent through my selection below, I authorize Neighborhood Vet to edit, alter, share, remix, or in any way modify the images for the aforementioned purposes. I acknowledge and waive any rights to compensation associated with the use of the images for the outlined purposes.* This field is required.Consent for Promotional Photos & Videos with Release

I consent

I deny

Do we have your permission to release your pet’s medical records to other veterinary clinics or pet care providers (such as groomers, boarding facilities, or daycare) upon request?* This field is required.

I Consent

I Do Not Consent

How We Operate* This field is required.Thank you for helping us keep our values and standards. Our policies enable our business to operate smoothly. Please click link to read.

CLIENT CONSENT: I, {name}, affirm that I am the legal owner of the pet(s) listed in the following patient form(s) provided to Neighborhood Vet. I further declare that I am authorized to make decisions regarding the health, treatment, and care of the pet(s) I submit under my account. I am 18 years old or older. I hereby authorize the veterinarians of Neighborhood Vet to examine, prescribe for, and treat the pets as described on the subsequent patient form. I understand that inherent risks exist with medical procedures, treatments, vaccinations, and medications, and I am encouraged to discuss any concerns I have about those risks with my veterinarian before the procedure(s) are initiated. I will not hold Neighborhood Vet Clinic, the veterinarians, or any staff member liable for any complications that may arise. My signature on this consent form indicates that no warranty or guarantee has been given to me as to the results or cure afforded by the recommended treatments or procedures. I agree to pay for all services rendered and medications, goods, and supplies when purchased. ALL FEES ARE DUE AT THE TIME SERVICES ARE RENDERED. I understand that any outstanding balances may be subject to applicable late fees and collection costs. Consent Acknowledgment: I have read and understood the terms outlined in this consent, and I willingly consent to the veterinary treatment and services provided by Neighborhood Vet.

New Client Online Scheduling