New Patient Registration Form

We would be happy to schedule your appointment. Please fill out the registration form below, and one of our dedicated team members will contact you shortly.

Get Started

Your Information

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Name *

Spouse / Co-Owner's Name *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email *

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Phone *

Place of Employment

Alternative Phone

Work Phone

How did you become aware of our clinic? *

May we have permission to use you and/or your pet’s image in our clinic media content (e.g. Facebook page)? *

Secondary Contact

Name *

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Relationship *

Phone *

Patient Information

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Pet's Name *

Date of Birth of Estimated Age *

Sex *

Breed *

Color *

Any previous serious illnesses or surgeries? *

Any allergies to vaccinations or medications? *

Is your pet on any special diets or medications? *

Payment is required at the time of service. We accept all major credit cards, cash, and checks. For clients that require payment arrangements, we work with CareCredit and ScratchPay. Please visit their websites for approval prior to your appointment.

We ask that you call for permission for release of records. A complete medical history needs to emailed to contact@hudsonvtcare.com prior to your appointment. Failure to do so may result in your appointment being rescheduled.

Phone

New Patient Registration Form

Your Information

Secondary Contact

READY TO VISIT US

Schedule An Appointment

Contact

Location

Open Hours

Closed on Wed. from 12 -2 pm for training

We open at 7am for surgery admits. Appointments start at 8am

Questions?

New Patient Registration Form

Your Information

Secondary Contact

Closed on Wed. from 12 -2 pm for training **We open at 7am for surgery admits. Appointments start at 8am**

Closed on Wed. from 12 -2 pm for training

We open at 7am for surgery admits. Appointments start at 8am