Thank you for considering our hospital as your pet’s provider of veterinary services. We are dedicated to maintaining the health of your pet and look forward to many future 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 in providing optimal care for your pet(s). The required sections have a red * asterisk.

Authorization and Releases

By completing this form, I hereby authorize the veterinarian(s) at Old Town Veterinary Hospital to examine, prescribe for, or treat my pet(s). I understand that these charges must be paid in full at the time of release and a deposit may be required for hospitalization and surgical treatment. An estimate will be provided, upon request, prior to treatment, for approval.

Pet Information