Forms New Client | Mill Creek Animal Ho

Hello and welcome! We sincerely appreciate the opportunity to care for your cherished family member. We are genuinely excited to meet both of you! To ensure we provide the highest level of care for you and your loved one, we encourage you to take a moment to review the information below. Should you have any questions or concerns, please don't hesitate to reach out. We are here to assist you and are always eager to chat! Thank you once again for entrusting us with this important responsibility. We are committed to exceeding your expectations and look forward to impressing you both soon!

First name

Last name

Phone

Address

We’d love to learn more about your cherished pet! Please share the following details: your pet's name, approximate age or date of birth, breed, color, and gender (male or female). Additionally, let us know if your pet is spayed or neutered. Your insights will help us provide the best care possible!

I’d love to hear all about your adorable furry companion! Please share the details here!

We would love to know how you discovered us!

Family or Friend (Please specify below so we can extend a heartfelt thank you!)

Internet Search, Facebook, Instagram, or Social Media

Other (Please specify below) Your support matters to us, and we want to show our appreciation!

At Mill Creek, we are dedicated to providing an exceptional experience for our clients, both human and pet! As part of our commitment to pampering you, we offer a delightful selection of snacks, including creamy peanut butter, fluffy whipped cream, and a refreshing mix of Sprite with grenadine and cherries. Your comfort and safety are our top priorities, so please let us know about any allergies you may have. Come indulge with us!

Please list any and all allergies here:

Please sign below to acknowledge your understanding of the following important statements:

You affirm that you are the legal owner or an authorized agent of the owner of the animal(s) described and possess the full authority to provide this consent. By signing, you confirm that you are at least 18 years old.

I grant permission to the doctors, staff, and authorized representatives of this hospital to conduct thorough examinations and provide necessary treatments for my pets.

I agree to pay for all services rendered, including any medications, products, and supplies purchased. Furthermore, I understand that all fees are required at the time of service.

Signature

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Date

Month

Day

Year