New Client Form

Please fill out our new client form prior to your first visit with us at Cedar Veterinary Hospital.

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Cedar Veterinary New Client Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit.

Do you have an appointment scheduled? *

Would you like a team member to reach out to schedule an appointment? *

Name *

First

Last

Email *

Primary Phone *

Secondary Phone

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Owner's Date of Birth *

Who else is authorized to make decisions about your pet's healthcare? *

First

Last

Phone

Pet Information

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

What is the microchip number?

Payment is due in full at the time that services are performed. If being admitted into the hospital, we cannot begin the care of your Pet until you have confirmed your desire to do so by 1) signing the client consent & estimate form, and 2) leaving an initial deposit of 100% of the low end of the estimate. This is the only way that we have of knowing for certain that you want us to proceed with the care of your Pet. We accept Cash, Visa, MasterCard, Discover, and CareCredit payments. We neither extend credit, nor bill for services. All open invoices are sent to collections after 45 days unless prior arrangements are made. *

I have read and accept the financial policy.

Comment

Ready for a visit?

We proudly deliver veterinary services with courtesy and respect to animals in Fresno, CA and beyond. We look forward to your next visit! You may book an appointment by giving us a call at 559-251-7141.

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