New Client Form

We accept printed documentation of vaccines administered by a licensed veterinarian. For your pets’ safety as well as all other pets we require vaccinations to be current in order for a pet to stay at our hospital facility. Please ask the staff for a list of the required vaccinations.

***Please notify our office with any contact or pet information changes.***

SORRY BUT WE DO NOT CARRY IN-HOUSE ACCOUNTS.
Please let the Doctor or receptionist know before your bill is incurred of any financial limitations.

I, as owner or owner’s representative, authorize treatment for the above listed pet. If any unforeseen medical needs arise and I am not available, I grant permission for any necessary care to be administered. I understand that I assume financial responsibility for all services rendered. This shall be assumed anytime my pet is left in the care of Vista Falls Veterinary Hospital.

New Client Form

Pet #1 Information
Pet #2 Information, if needed,
Pet #3 Information, if needed.
Pet #4 Information, if needed.
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