Roncesvalles Animal Hospital

New Client/Patient Registration Form

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New Client/Patient Registration Form

Thank you for choosing our hospital as your pet’s provider of veterinary services. We are dedicated to maintaining the health of your pet and look forward to many future years together.

Please complete this form as fully as possible prior to your first appointment which will help expedite the registration process and give us valuable insight in providing optimal care for your pet(s).

Owner's Name
Co-Owner's Name & Contact #
Please contact any vet clinic you have visited in the past and ask them to forward your records to us via email. It is VERY important to have all previous records prior to your exam with us. List below all vet clinics that have seen your pet so we can make sure we have received all the records or follow up with them if needed. Our email is
Pet Information
MM slash DD slash YYYY
We are practicing as a fear free clinic and would like our patients to be as comfortable as possible while in our care.
Payment and Cancellation Policy *
For payments we are accepting all major credit cards, Debit, e-transfers or cash.

1. Cancellation within 24 hours of APPOINTMENT time - $37.50
2. Missed APPOINTMENT or more than 10 minutes late for scheduled appointment time - $52.50
3. Missed drop off or cancellation within 72 hours of SURGERY time - $250
We appreciate your consideration and understanding of this policy.

★ Starting March 14th, 2023 car transit is back. Parking at clinic available. ★
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