

Use color with distinct contrast and/or different from rest of site, be aware of color and meaning. No yellow or orange. Consider gray (neutral) or blue (informative) semantic color options. Use the red (negative) option only for urgent critical info (We’re closed until xxx or New Covid Restrictions). Include only one message per banner. No need for periods in short sentences. Use periods if multiple sentences or long, full sentences.

Learn More

fill out our form!

New Client Form

Fill out our new client form before your first visit for a smoother process at our animal hospital!

get started

Allenstown Animal Hospital New Client Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit.

Name *

First

Last

Email *

Primary Phone *

Secondary Phone

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Who else is authorized to make decisions about your pet's healthcare? *

First

Last

Phone

How did you find out about our hospital? If you were referred by someone, who should we thank? *

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

Payment is due in full at the time that services are performed. If being admitted into the hospital, we cannot begin the care of your pet until you have confirmed your desire to do so by 1) signing the client consent & estimate form, and 2) leaving an initial deposit of 50% of the upper end of the estimate. This is the only way that we have of knowing for certain that you want us to proceed with the care of your Pet. We accept Cash, Visa, MasterCard, Discover, and CareCredit payments. We neither extend credit, nor bill for services. All open invoices are sent to collections after 45 days unless prior arrangements are made. *

I have read and accept the financial policy.

Website

New Client Form

Allenstown Animal Hospital New Client Form

See what we can do for you and your pet.

Have a question?

Address

Contact information

Hours