Welcome to Ibis Animal Hospital!

  • Welcome to Ibis Animal Hospital!

    Thank you for giving us the opportunity to care for your pet(s). We're happy to answer any questions you may have about their health. To ensure the best care possible, please take the time to fill this form out completely.
  • Today's Date:*
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  • Your Birthdate
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  • Which pronouns do you prefer?

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  • Their Birthdate
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  • Which pronouns do they prefer?

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  • How did you hear about Ibis Animal Hospital?

  • For your conveniece, we can place a credit card on file in order to ensure that the check-out process after your visits are much faster. It also helps us to reduce unnecessary contact. We'll only use it for authorized charges & your information is always kept as securely as we treat our own. During future visits, you won't have to sign any receipts; you'll simply let us know to charge the card on file. We're happy to email you a receipt upon request.*

  • Pet # 1

  • Is your Pet Currently on a Heart Worm Preventative?*
  • Is your Pet Currently on a Flea/Tick Preventative?*
  • Is your Pet Currently Taking any other medications?*
  • Please Select any Symptoms or Problems that you've Noticed Recently:*

  • Is This the Only Pet That You’ll be Bringing to us for Pet Care?*

  • Pet # 2

  • Is your Pet Currently on a Heart Worm Preventative?*
  • Is your Pet Currently on a Flea/Tick Preventative?*
  • Is your Pet Currently Taking any other medications?*
  • Please Select any Symptoms or Problems that you've Noticed Recently:

  • Consent & Authorization

  • At Ibis Animal Hospital, we love our patients & sometimes, we want to share a pup's cute face on our Facebook page or on one of our fliers. If it's alright with you, we'd like your permission to take photos of your adorable pet(s) for use on social media or fliers. Is that alright?*

  • I hereby authorize the Veterinarian to examine, prescribe for, or treat, the pets that I've described in the New Patient Registration form. I understand that Ibis Animal Hospital requires current vaccinations except in cases determined by the veterinarian to no longer be medically appropriate. If the veterinarian determines that these vaccinations to not be up to date, I authorize Ibis Animal Hospital to administer them. If my canine(s) is found to have fleas during their visit, I authorize CapStar to be given in order to treat the fleas which are currently on my pet(s). I hereby state that I'm over 18 years of age, I am the owner (or authorized representative of the owner) and I have the authority to make both medical and financial decisions regarding this animal. I assume responsibility for all charges incurred in the care of the animal(s) listed on said form. I also understand & agree that these charges will be paid in full at the time services are rendered and prior to release of said pet(s). I also understand that a deposit may be required for certain medical or surgical treatments.

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