Apex Animal Hospital

New Client Information

Client Information

  • We are pleased to welcome you to our practice. Please take a few minutes to fill out this form as completely as you can. If you have questions we'll be glad to help you. We look forward to working with you in maintaining your pet's health.
  • Date Format: MM slash DD slash YYYY
  • Pet Information #1

  • Pet Information #2

  • Pet Information #3

  • Payment

    We will gladly prepare a written estimate of service fees if you desire (please ask our doctor or receptionist). All professional fees are due at the time services are rendered. In cases of extensive medical or surgical procedures where full payment may be difficult at discharge, we accept major credit cards or can establish a payment arrangement if approved in advance of treatment. There will be a service charge for any check returned unpaid. To prevent the spread of infectious diseases, all hospitalized patients must be current on all vaccines and free from internal and external parasites. The signature below authorizes this level of preventive care and the appropriate charges will be assessed in the discharge invoice.
  • Date Format: MM slash DD slash YYYY
  • This field is for validation purposes and should be left unchanged.