New Client Registration Form

New clients are welcome to register to our veterinary practice in Essex Junction, Vermont. We are not currently taking on new clients but will keep your information on file until a time we are ready to begin accepting new patients and clients again.

Thank you for considering our hospital as your pet’s provider of veterinary services. We are dedicated to maintaining the health of your pet and look forward to many future years together.

Please complete this form as fully as possible which will help expedite the registration process and give us valuable insight in providing optimal care for your pet(s). The required sections have a red * asterisk.

New Client Registration Form

Animal #1

Animal #2

Animal #3

Authorization

Have a Question? Need to book an appointment?

Connect with us and one of our team members will be happy to assist you.