Welcome! We know your pet's health is important, and we thank you for trusting us to care for your furry companion. To help us provide the best care possible, please take a few moments to fill out this form completely. Please note, for first-time visits for our new clients, we do not accept checks. Thank you for your understanding!

    New Client Registration Form
    How did you hear about our clinic?
    Number of pets

    Authorization

    I hereby authorize the veterinarian to examine, prescribe for, and/or treat the above described pet. I assume full responsibility for all the charges incurred for the care of this animal. I also understand that these charges will be paid at the time of release and that a deposit may be required for surgical treatment.

    I hereby authorize Claysville Animal Care to release my pet's records on my behalf to any shelter or rescue that I pursue for adoption as well as medical facilities and pet groomers. I understand that I assume responsibility for whether or not my pet's vaccines are up-to-date.   
    I hereby authorize Claysville Animal Care to use pictures of my pet for social media purposes. I understand that the use of said pictures are to promote the well-being of my pet, as well as the clinic, and is not in any way meant to be used as defamation.