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Dog Owner

New Client Form

Note:  New Clients are encouraged to complete this form before their first appointment with our veterinarian. This form should only be completed by new clients who have already scheduled an appointment with us. 

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Client Information

Patient Information 
Please give any of your pets prior records to the receptionist

I hereby authorize the veterinarian to examine, prescribe for, and treat the above pet. I certify that I am 18 years of age or older and that I am legally financially responsible for the treatment received at NorthPointe Animal Hospital. I will assume responsibility for all charges incurred for the care of this pet. I understand that FULL PAYMENT IS DUE AT THE TIME THE SERVICES ARE RENDERED and that a DEPOSIT MAY BE REQUIRED FOR ANY HOSPITALIZED OR BOARDED PET. 

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