Get Dvmh New Client/patient Information Form 2019-2026

Completing the DVMH New Client/Patient Information Form online is an essential step in establishing care for your pet. This guide will provide you with clear, step-by-step instructions to navigate the form effectively.

Follow the steps to complete the form accurately.

1. Click ‘Get Form’ button to access the online form and open it in the form editor.
2. Begin by entering your primary contact information. Select the appropriate title (Ms, Mr, Dr, etc.) and fill in your first and last name as the primary contact. Then, provide the same details for a second contact.
3. Enter your street address, including apartment number if applicable. Specify the city (New York City or another city), state, and zip code to ensure accurate location information.
4. Provide the best phone number for contact, selecting the appropriate category: work, cell, or home. Indicate if you are okay to receive texts. Repeat this step for a second contact number.
5. Fill in your email address clearly, as it will be used for reminders and important health information.
6. Indicate how you found out about the DVMH Hospital by checking the relevant options (Friend/Client, Website, Social Media, or Walked by). Provide details where appropriate.
7. Next, move to the patient information section. Fill in your pet's name, select if they are feline or canine, and provide their breed.
8. Specify your pet's gender and date of birth. If the exact date is unknown, provide an estimated date.
9. Indicate if your pet is spayed or neutered, and provide their color and markings.
10. Choose whether you permit DVMH to use your pet’s picture on social media platforms. If yes, provide the necessary details.
11. Answer whether your pet has a microchip, and indicate if you have pet health insurance, specifying details if applicable.
12. Respond to inquiries about potential foreign travel with your pet and purchasing from online pharmacies, noting that a prescription waiver may be required.
13. Authorize DVMH to send vaccine history to your pet's groomer, daycare, or dog walker by selecting yes or no.
14. Review the financial policy summary and missed appointment policy. Confirm your understanding by providing your signature and date.
15. Once you have completed all sections, save your changes. You may also download, print, or share the completed form as needed.

Complete your forms online to streamline your pet's visit!