New Patient Form

We’re so excited to welcome you and your pet to our Hamilton Wenham Veterinary Hospital family! To help us provide timely, individualized care for your pet from day one, please fill out our New Patient Form. We will review the information provided and reach out via phone call to schedule a new patient visit.

New Client Form
Pet Owner's Name
Pet Owner's Name
First Name
Last Name
Co-Owner/Secondary Contact
Co-Owner/Secondary Contact
First Name
Last Name
Mailing Address
Mailing Address
City
State/Province
Zip/Postal
How Did You Hear About Us?
Species
Please Indicate If Your Pet Is...
Is Your Pet Up to Date on Vaccines?
Is Your Pet on Any Medications?
Do You Have Pet Insurance?
Are you a first-time pet owner?
Do we have permission to contact your previous veterinarian for records?

Maximum file size: 52.43MB

PAYMENT POLICY: All fees are due at the time services are rendered. We Accept cash, checks, all major credit cards and offer Care Credit for surgical and extensive medical services. A deposit of 50% of initial estimate is required when an animal is admitted for medical/surgical services. The remainder of your payment is due upon discharge of your pet.

My signature indicates that I understand that I am responsible for all fees incurred in treating my pet. I hereby authorize the veterinarian to examine, prescribe for or treat my pet, and to have my pet's photo displayed on the clinic's website and/or Facebook. I agree to pay for the reasonable costs of collection, attorney fees & court costs in the even that collection efforts become necessary.