Pet Owner Forms for At Home Animal Clinic

Online Forms for Streamlined Pet Care

We’ve made it easy to take care of the essentials, whether you’re a new client joining our practice or an existing client requesting an appointment or prescription refill. Simply choose the form you need below, and let us know how we can help.

Your time is valuable, and we’re here to make caring for your pet as convenient and seamless as possible.

Pet Owner Hugging Dog In Front Of Laptop
Pet Owner Hugging Dog In Front Of Laptop

New Client Form

New Client Form
Owner's Name
Owner's Name
Co-Owner's Name
Co-Owner's Name
Address
Address
City
State/Province
Zip/Postal

Pet #1

Spayed or Neutered

Pet #2

Spayed or Neutered

Treatment Authorization

By signing below and submitting this form, you authorize the veterinarians and staff of At Home Animal Clinic to exam, complete diagnostics, perform procedures, prescribe, and administer treatment as is considered medically necessary for your pet(s).

Record Release Authorization

To ensure continuation of care, At Home Animal Clinic will obtain your pet’s medical records and communicate with previous veterinary clinics that have provided care for your pet. At Home Animal Clinic may also release your pet(s)' medical information including vaccine history, medical records, diagnostic images, and lab work to other veterinary hospitals, boarding facilities, groomers, authorities, and pet insurance companies as necessary. By signing below and submitting this form, you acknowledge that At Home Animal Clinic will obtain your records from previous veterinary clinics and may release your pet’s records on request.

Email & Text Messaging Communication Consent

Clients of At Home Animal Clinic may receive direct conversational communication via email and/or text messaging from an employee representative to discuss a pet’s veterinary care, appointment scheduling, or billing. Clients may also receive automated informational communications via email and/or text messaging to be reminded of their pet’s upcoming appointments, veterinary care needs, surveys, and promotions.

Messaging and data rates may apply. At Home Animal Clinic Clients may opt-out, unsubscribe, stop, or change their email and / or text message preferences at any time.

May we contact you by text?
May we contact you by email?

Appointment Policy

When clients repeatedly cancel, delay, or miss appointments it is detrimental to At Home Animal Clinic’s mission, and prevents other deserving pets from receiving care. We ask that you give us the courtesy of a 6-hour notice if your appointment needs to be altered. If you are more than 10 minutes late for an appointment, we may need to reschedule. Clients that are chronically late, cancelling, or missing appointments may be asked for a deposit before scheduling. By signing below and submitting this form, you acknowledge that you have read and understand At Home Animal ClinicL’s appointment policy.

Payment Policy

Full payment is due at the time of service. At Home Animal Clinic accepts all major credit cards, cash, and checks. Payments made by card are subject to a 1.25% fee adjustment to offset the processing fees. Clients with payment concerns are asked to speak to a Client Service Representative prior to services being rendered. Payment plans are available through third party providers Care Credit and Scratch Pay. No other payment plans, or delayed billing are offered. By signing below and submitting this form, you acknowledge that you have read and understand At Home Animal Clinic’s payment policy.