New Patient Registration - Loving Care Pet Hospital

Client Information

We love animals here at Loving Care Pet Hospital and we always want to provide you with the best care for your pets. We know that you consider your pets to be a member of your family and we will provide high quality, compassionate medical care for them. We will gladly provide estimates for services if requested. We do not bill and all fees are due when the services are rendered. We accept Visa, MasterCard, CareCredit, and personal checks with proper verification. There will be a $25 service charge for returned checks. In order to decrease the spread of disease, all animals staying at Loving Care Pet Hospital must be current on all vaccines and free of external and internal parasites. We reserve the right to update vaccines and treat parasites as needed at the owner’s expense.

Primary Owner Name

Secondary Owner Name

Address

Email

Enter Email Confirm Email

Primary Phone Number

Secondary Phone Number

If you are paying by CHECK please give your Driver's License Number, State Issued, and Date of Birth (Drivers License or Texas ID card REQUIRED when paying by check).

Pet Information

Pet Name

Pet Species

Dog
Cat

Pet Birthday/Age

Pet Color/Breed

Pet Sex

Male
Female

Is your pet spayed or neutered?

Yes
No
I don’t know

Authorization

I am assuming responsibility, financial and otherwise, for said animals, and authorize Loving Care Pet Hospital to receive, prescribe for and treat as indicated. I assume all risks. I agree to pick up said pets when specified by the attending veterinarian. In the event that said animal(s) aren’t picked up, they will be considered abandoned and written notice will be mailed to the owner’s current address. After 12 days, they will be dealt with in whatever manner that Loving Care Pet Hospital considers appropriate. It is also understood that said abandonment does not relieve me from paying all costs incurred, including medical care, food, and housing.

How Did You Hear About Us?*

Please Specify

Promotion