New Client Form 2017-12-05T11:00:46+00:00

NEW CLIENT FORM

  • YOUR PET’S INFO

  • YOUR PET’S HISTORY (OPTIONAL)

  • Please ask your previous veterinarian to send your pet's medical records to our email newrocvets@gmail.com or fax (914) 999-4553.

  • I understand, by indicating I agree and submitting this registration, that I am responsible for any charges incurred by my pet while in the care of the doctors at New Rochelle Animal Hospital and that charges are due and payable at the time of service, unless other arrangements are made in advance. Any balance that is carried over a period of 30 days will accrue monthly finance charges. Any balance that I leave unpaid will be forwarded to a collection agency, and will incur a collection fee for which I am liable, in addition to monthly finance charges.