New Client Form

Welcome and thank you for giving us the opportunity to care for your pet. Please help us learn more about you and your pet's needs by filling in the information below. When you are finished, click the submit button and the form will automatically be sent to our client service and medical team. Use one form per pet, please.
  • We are on Facebook, Twitter, Google+, Yelp, and Instagram

    By signing below you authorize the staff of NYC Vet Group to use photographs of this pet for promotional purposes including but not limited to brochures, website, and social media such as Facebook and Instagram.
  • Referral

  • Does your pet have any medical conditions or history that we should know about? Please use the field below to list any major medical problems that your pet may have had in the past, any chronic health issues, or anything else that you think will be helpful for us to know when diagnosing or treating your pet.
  • Use the field below to tell us any medications that your pet is currently taking. List the medication name, the dose, and how frequently the medication is given.
  • To prevent the spread of infectious disease; all in-house, out-patient and boarders must be current on all vaccines and free of parasites. I understand this to be the strict policy of the hospital and authorize the doctors to provide my pet(s) with vaccinations and parasite control as needed. Any necessary treatments will be included on the invoice and due at the time of treatment.

    We kindly request that ALL services are paid at the time they are provided. All outstanding balances will be sent to collections. Client acknowledges personal financial responsibility for services received. In the event of an emergency and I am not able to be reached, I authorize and agree to pay for any service NYC Vet Group determines necessary to provide the highest standard of care to my pet. I acknowledge that I am the owner of the patient listed above or that I am authorized by the owner to make medical decisions on its behalf. In cases where the rightful owner fails to make payments for any medical decisions made, I will assume the financial responsibility for the decisions I have made.

    For your convenience we gladly accept cash, debit cards, Visa, MasterCard, and American Express. Sorry No Checks Accepted. DEPOSITS MAY BE REQUIRED FOR PETS BEING ADMITTED.

    By signing below you acknowledge and agree to the above statements and also certify that you are at least 18 years of age.