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NEW CLIENTS WELCOME
After we have your information we will contact you to schedule your appointment and collect your exam deposit.
New Client Online Form
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Indicates required field
Name
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First
Last
Address
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City
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Zip Code
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Phone Number
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Please provide your primary phone number
Service Provider
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Verizon
US Cellular
T Mobile
AT&T
Other
Email
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Employer
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Employer Phone#
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Employer Phone number
Pet's Name
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Species
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Dog
Cat
Other Pet
Sex
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Male
Female
Altered
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Spayed/Neutered
Intact
Breed
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Color
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Age
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Upload Pet's Health History (If Available)
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Max file size: 20MB
Please upload a PDF of your pet's health history
Significant Other Name
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Significant Other Phone#
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We require a non-refundable deposit to book your pets first exam. If you do not show for your pets first visit the deposit will be forfeited and you will not be rescheduled.
A staff employee will provide you with a printed treatment plan before any treatment is done if requested by the owner. A 50% deposit is required prior to treatment when your animal is a drop off appointment OR hospitalized. Payment is due at the time of service. We accept Visa, Cash,
CareCredit
and Personal Check payments.
NOTICE: Returned Check Fee is $25. We require a 24hr notice if you need to cancel an appointment. A No Call / No Show Fee of $25 per animal ($10 for tech apts) scheduled will be billed to you and due before your next scheduled appointment.
Please Verify
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I certify that I am 18 years of age or older, and responsible for all charges and medical treatment incurred. I acknowledge Timbers Veterinary Services policies and agree to follow them.
I agree to receiving marketing and promotional materials
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