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  • New Client and Pet Information Form

  • Thank you for trusting Hillcrest Veterinary Clinic for your pet's care! Please fill out the form below and attach your pet's previous medical records. Once we receive this information, we'll give you a call to schedule your first visit with us.

    **We are currently scheduling out about 6-8 weeks for our new client appointments.**

  • We do require a deposit for all new client appointments here at Hillcrest Veterinary Clinic. The deposit is $62.00 and is due at the time of scheduling. It covers the cost of the physical exam and will be applied to your invoice at your appointment.

    If you need to cancel or reschedule, we can refund or transfer your deposit. It will only be forfeit if you no-show for your appointment*.  

    If your deposit is forfeit due to a no-show and you wish to reschedule, a new deposit will need to be taken prior to rescheduling. 

    *"No-show" is defined as missing your appointment with no advance notice given to the Clinic. 48 hours advanced notice is required to cancel or reschedule with no penalty.

  • Owner Information

  • All fields marked with * are required and must be filled.
    If not applicable, enter N/A.

  • Pet Information

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  • We must have your pet's previous medical history in order to schedule an appointment. If you have a kitten or puppy with no previous medical history, please email us at reception@hillcrestveterinaryclinic.com for a different intake form.

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  • Acknowledgement and Signature

  • Please note: We take pride in the quality of service and medical care you trust us with providing you and your pet. In an effort to maintain these standards, and to keep your costs down, we do not bill for services rendered. Payment is due at the time of service. 

    We accept cash, check, Care Credit, VISA, MasterCard, Discover, and American Express. 

    By signing this form, you acknowledge that the information provided is accurate to the best of your knowledge, and that you agree to pay for professional services and medications as they are rendered. You may ask us for a copy of our financial policy or for an estimate of expected services at any time. 

     

    Please arrive to your appointment at your scheduled time. Due to our current scheduling restrictions, if you are more than 10 minutes late we will need to reschedule your appointment.

     

    Failure to reschedule or cancel your appointment at least 48 hours before your scheduled appointment time will result in the forfeiture of your deposit, and a new deposit will be required before you can schedule a new appointment.

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