Online form

New Patient Form

Save time at your next appointment! Please complete your required New Patient Form online from any device at any time before your visit.

New Patient Form

Please complete this form completely and accurately so that we can get to know you and your pet(s) before your visit. If this is an emergency or your pet requires immediate attention, please call us at 516-887-3322 for a faster response.

Please make sure to bring copies of all previous vaccination, health history, and lab results. You can also send documents to


I hereby authorize the veterinarian to examine, prescribe for, or treat the above described pet(s). I assume responsibility for all charges incurred in the care of this animal(s). I also understand that ALL PROFESSIONAL FEES ARE DUE AT TIME SERVICES ARE RENDERED.


New Clients are required to place a deposit of $101 for the first visit. You have 48 hours prior to the visit to cancel or reschedule this appointment without penalty. If the appointment is not kept or cancelled the $101 deposit is NON REFUNDABLE.