New Client & Pet Registration Form

Owner's Full Name

First NameMiddle NameLast Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email Address

example@example.com

Home Address

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Emergency Contact Name

Relationship to Owner

Emergency Contact Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Pet's Name

Species

Breed

Age

Sex

Spayed/Neutered?

How does your pet typically react to nail trims?

Please tell us anything else about your pet during nail trims.

How would you describe your pet's temperament?

How does your pet react to meeting new people?

Is your pet treat-motivated?

Favorite treats

Does your pet have any allergies?

Please list allergies.

Primary Veterinary Clinic

Veterinarian's Name

Veterinary Clinic Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Is your pet current on vaccinations?

Upload Vaccination Records

Client Agreement & Authorization

I understand that Gentle Touch Pet Services is not a veterinary practice, and its owners, employees, and contractors are not licensed veterinarians. Gentle Touch Pet Services does not diagnose illnesses, prescribe medications, or provide veterinary medical treatment. While caring for my pet, Gentle Touch Pet Services may observe signs of illness, injury, pain, discomfort, abnormal behavior, or other health concerns. If any issue is observed that, in their reasonable judgment, appears to require veterinary attention, Gentle Touch Pet Services may recommend that I seek evaluation and treatment from a licensed veterinarian. Any recommendation is based solely on observations made during the course of providing pet care services and is not a medical diagnosis. If Gentle Touch Pet Services believes my pet is experiencing a medical emergency or that delaying treatment could place my pet's health or safety at risk, every reasonable effort will be made to contact me and my designated emergency contact. If neither can be reached, I authorize Gentle Touch Pet Services to transport my pet to my preferred veterinarian or, if unavailable, the nearest licensed emergency veterinary hospital for examination and treatment. I understand that Gentle Touch Pet Services reserves the right to refuse, suspend, or discontinue services if my pet appears ill, injured, contagious, aggressive, or otherwise requires medical care beyond the scope of the services provided. Services may resume only after the pet has been evaluated and, when requested, cleared by a licensed veterinarian. I authorize Gentle Touch Pet Services to render the pet care services requested under this agreement. I accept full financial responsibility for all veterinary examinations, diagnostics, treatments, medications, hospitalization, emergency care, transportation, and any other related expenses incurred on behalf of my pet. I also agree to reimburse Gentle Touch Pet Services for any authorized out-of-pocket expenses and to pay all invoices for pet care services in full according to the agreed payment terms. By signing below, I acknowledge that I have read, understand, and voluntarily agree to the terms of this Veterinary Care Authorization, Health Disclaimer, and Liability Agreement.

I have read and agree to the above terms.

Digital Signature

Printed Name

Date

New Client & Pet Registration Form

Client Information

Pet Information

Pet Behavior & Personality

Veterinary Information

Agreement & Authorization