New Client Form

Sudbury Animal Hospital New Client Form - please allow 3 business days for processing and staff to contact you

* Indicates required field

Name *

First

Last

Phone Number *

Name - secondary owner *

First

Last

Phone Number -secondary owner *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Pet name #1, dob, species, breed, color, sex, spayed/neutered *

Pet name #2, dob, species, breed, color, sex, spayed/neutered, *

Pet name #3, dob, species, breed, color, sex, spayed/neutered *

Previous Medical History - Please upload your pet's information here or contact previous vet and have records emailed to: info@sudburyanimalhospital.com *

Max file size: 20MB

Reason for visit and other pertinent information: *

Preferred visit days and times: *

Sudbury Animal Hospital Policies: Please read before submitting form
PAYMENT: Payment for services rendered is due at the time of the visit. We DO NOT bill.
We accept cash, Mastercard, Visa, American Express and Discover credit cards
If you need a payment plan, you can apply for CARE CREDIT at www.carecredit.com

Cancellation and NO SHOW for appointments:
Need to cancel or reschedule? We request that appointments be cancelled with 24 hrs prior notice so that that time slot may be offered to another patient in need.
No show policy: We understand that life gets busy and things happen that can make you forget you had an appointment...but here is our NO SHOW POLICY if it happens more than once...
*1st time NO SHOW: Courtesy call, no fee assessed, and offer to reschedule the appointment
*2nd time NO SHOW fee: Client is asked to cover 1/2 office visit fee per patient scheduled
*3rd time NO SHOW fee: Client is asked to cover full office visit fee per patient scheduled
*After 3rd time, future appointments will change to drop off only appointments that will be scheduled at our convenience and assessed an in-patient care fee per patient in addition to services your pet receives.

REMINDERS: Text and email reminders are in effect for all clients with emails and mobile phone numbers on file, so make sure we have that information to enable the reminders for you. **We do not send out paper reminder cards, so if you need a copy of your pets vaccine and visit schedule to put on your calendar, please email us: info@sudburyanimalhospital.com to request a copy. Also, you can sign up for a petly portal to get online access to your pet's information. Simply fill out the form on the petly portal page on our website or email us to request an invitation.

SCHEDULING APPOINTMENTS: We want to make sure that your pet gets all of their medical concerns addressed when they are in for a visit. Please make sure that you tell our reception staff everything that is going on with your pet when you are scheduling your visit. We have different time slots allotted for different types of visits, and we want to give you the time needed to cover all that is needed. Last minute add-ons may not be possible to accommodate due to the appointments that are on our schedule after yours.
Plan to arrive 10 minutes prior to your appointment time to check in.

I have read the above terms and policies *

check here

Submit