Client Forms

For your convenience, we’ve made our client forms accessible through our website. If you’re new to our practice, we recommend filling out a new client form prior to your first appointment, so you can bypass filling it out in our waiting room. The information you provide will help us prepare for your visit.

New Client Form

Primary Contact

Name *

Name

First

Last

Address *

Address

City

State/Province

Zip/Postal

Primary Phone Number *

Phone Type *

Home

Cell

Work

Secondary Number

Phone Type

Home

Cell

Work

Email *

Preferred Method of Contact *

Call

Text

Secondary Contact

Name *

Name

First

Last

Primary Phone Number *

Phone Type *

Home

Cell

Work

Secondary Number

Phone Type

Home

Cell

Work

If you are human, leave this field blank.

Surgery Consent Form

Surgical/Hospitalization Consent Form

Name *

Name

First

Last

Email *

Best Number to Reach You *

Address *

Address

City

State/Province

Zip/Postal

Reason for Hospitalization *

If you are human, leave this field blank.

Fear Free Pre-Visit Questionnaire

Fear-Free Pre-Visit Questionnaire

Name *

Name

First

Last

Email *

As Fear Free Certified Professionals, we want to make your pet's veterinary experience as enjoyable and as stress-free as possible. As such, it's important for us to understand what your pet might find upsetting. The information will help us to adjust our care to better serve and comfort your pet. Please answer the following questions to the best of your ability so we can take into consideration both your and your pet's preferences.

Pet's Name *

Does your pet show any reluctance to getting in the carrier or car? *

Yes

How and where does your pet travel in the car? *

(carrier, seatbelt, loose, etc.)

During travel to the veterinary hospital, does your pet do any of the following:

Eager & excited

Subdued

Reluctant

Bark/Meow

Hide

Whine

Drool

Pant

Vomit

Tremble

Urine/BM

Pace

OtherOther

Does your pet prefer *

Female veterinary professional

Male veterinary professional

It doesn't matter

If you are human, leave this field blank.

International Health Certificates

Please complete this form within at least one week prior of your scheduled appointment. If this form is not completed by your appointment, we will ask that you reschedule your appointment with us.

If you have any questions regarding pricing, please call us at (518) 383-6254. Our receptionist team will be more than happy to assist you.

Owner's Name *

Owner's Name

First

Last

Address *

Address

City

State

Zip

Phone *

Email *

Is there a secondary owner? *

Yes

Secondary Owner

Name

First

Last

Address

If different than primary owner

Address

City

State

Zip

Phone

Are you a current client? *

Yes

Will you be traveling with multiple pets? *

Yes

Pet Information

Pet's Name *

Pet's Species *

Dog

Cat

Is your pet microchipped? *

Yes

When? *

Do previous records show date microchip was implanted? *

Was your pet vaccinated for rabies before or after their microchip? *

Please upload your pet's medical record or provide the name of your previous animal hospital. *

Upload Medical Records

Previous Animal Hospital

Upload Medical Records

Maximum file size: 52.43MB

Name of Animal Hospital

Add Another Pet Remove

Where are you traveling to? *

When are you leaving? *

When do you arrive at your lodging? *

What is the address of where you are staying? *

What is the address of where you are staying?

City

State/Province

Zip/Postal

Country

Is your pet traveling with you, someone else, or with a travel agency? *

Someone Else

Travel Agency

What is their name? *

What travel agency? *

What is their contact information? *

Who is dropping your pet off at the airport? *

What is their contact information? *

Who is picking up your pet? *

Who is picking up your pet?

First

Last

Phone *

Is your pet traveling in the cabin or in cargo? *

Cabin

Cargo

Are you planning to leave the airport with your pet during a layover? *

Yes

If yes, what country? *

Are you planning to move permanently? *

Yes

Date of return *

Additional Information for Your Travel Preparations

Follow the links below for critical information to help you prepare for domestic or international travel. You need to know and meet all the USDA requirements of your destination state or country. Planning for these requirements takes time and energy, and often includes additional costs to cover any treatments or documents needed.

Consulate of Destination Country Animal Exporting Requirements Animal Importing Requirements

Special Circumstances

If you will be traveling to Australia, New Zealand, Japan, or Hawaii, please let us know so we can make sure you acquire the most up to date information about requirements for these destinations.

reCAPTCHA

If you are human, leave this field blank.