Existing Client-
New Patient Form

If your pet is a new patient at Otterside Animal Hospital, please fill out our existing client new patient form below. We are excited to serve you and your pet.

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Existing Client New Patient Form

We know your pet’s health is important and we thank you for trusting us to care for them. To help us provide the best care possible, please take a few moments to fill out this form completely. Thank you.

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? *

What is the microchip number?

Do you have a second pet? *

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? *

What is the microchip number?

Do you have a third pet? *

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? *

What is the microchip number?

Do you have a fourth pet? *

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? *

What is the microchip number?

Do you have a fifth pet? *

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? *

What is the microchip number?

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 all major credit cards, cash 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.

Comment

Download Our App and Connect with Us on PetDesk

At Otterside Animal Hospital, we take veterinary medicine to the next level without sacrificing the family feel that is vital to quality patient care. With our team of dedicated professionals, state-of-the-art facilities, and personalized services, we strive to provide exceptional veterinary care. Please request an appointment for your pet using our online system on PetDesk, and keep up with your pet’s health by downloading our app.

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Questions?

Get in touch! We look forward to hearing from you.

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Location

28 Conant Square
Brandon, VT 05733

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Contact Information

P: (802) 247-3335
E: info@ottersideanimalhospital.com

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Office Hours

Monday: 8:00 am – 5:00 pm
Tuesday: 8:00 am – 7:00 pm
Wednesday: 8:00 am – 3:00 pm
Thursday: 8:00 am – 7:00 pm
Friday: 8:00 am – 5:00 pm

Name *

First

Last

Email *

Phone

How can we help you? *

Message

Existing Client-New Patient Form

Existing Client New Patient Form

Existing Client-
New Patient Form