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New Client Form

Save time during your next appointment. Complete your new client form online from any device at any time before your visit.

Our client's privacy is very important to us. We assure you that your information will be carefully protected.
give representatives and employees the right to take photographs of me and my pets to use and publish the same in print and/or electronically on Social Media and in advertising.

I understand and agree to pay A Caring Heart Veterinary Hospital, PLLC when services are rendered for any and all pets I bring in. Acceptable forms of payment are cash, credit card, check, and care credit. In the event of default, I understand that I will become liable for any reasonable attorney and collection fees and all related cost necessary to remit the entire balance to A Caring Heart Veterinary Hospital, PLLC.

I authorize A Caring Heart Veterinary Hospital, PLLC to contact me via current and any future cellular phone number(s), email address, or wireless device(s) regarding my delinquent account(s) I owe to A Caring Heart Veterinary Hospital, PLLC. To recieve general information from A Caring Heart Veterinary Hospital, PLLC I also authorize it's agents, representatives, and attorneys (including collection agencies) to use automated telephone dialing equipment and artificial or pre-recorded voice messages and personal calls, in their effort to contact me for purposes of collecting any portion of my account which is past due. I understand that I may withdraw my consent to call my cellular phone by submitting my request in writing to A Caring Heart Veterinary Hospital, PLLC or it's agents.