Forms

Online Forms

Thank you for considering our clinic as your pet’s veterinary service provider. We are dedicated to maintaining your pet’s health and look forward to many 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 into how to provide optimal care for your pet.

Client Registration Form

    Pet Parent Information









    Pet Information 1












    Pet Information 2












    Do you give us permission to post pictures of your pet on social media?

    How did you find out about our practice?

    AUTHORIZATION TO PROVIDE CARE
    I confirm I am 18 years old (or older) and I am the owner (or authorized agent of the owner) for the pet(s) listed above. With my signature, I authorize the veterinarians and staff of Ramsay Animal Clinic to examine, treat, administer medications, and perform diagnostic and surgical procedures for my pet. I also agree to assume responsibility for all charges incurred in the care of my pet(s), as well as reasonable attorney’s fees, court costs, and interest if the balance is sent for collection. I understand that full payment is due at the time services are rendered.
    Consent*
    Reason for appointment

    Prescription Refill and Food Order Request

    Please use the form below to request your prescription refill or food item. This will save you time when picking up your order. Please allow 24 hours for order processing. Do not come to the clinic until you have received confirmation
    to pick up your order.

    Note: Some prescriptions will require an examination of your pet prior to refilling.

    Many prescriptions require your pet to be examined before dispensing. This ensures that your pet is healthy enough to handle the potential side effects of some prescriptions and provides further confirmation that the medication
    is appropriate for your pet’s current condition.

    IMPORTANT: Prescription Refills and Food Orders are not confirmed until you have received notification. A staff member will contact you by phone or email.







      Additional Comments*

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