Phone: (407) 253-2345 | Fax: (407) 650-2644 | Monday - Friday: 9:00am - 5:00pm
Ask about our new dental x-ray machine and how your pet may benefit from an oral x-ray.
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 prior to your first appointment 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.
I hereby authorized the veterinarians & staff to examine, prescribe for, and/or treat the above-described pet. I assume responsibility for all charges incurred in the care of this animal. I also understand that any and all charges will be paid for at the time when services are rendered and that a deposit may be required for hospitalization, surgery and/or other routine services and treatment.