New Client Form Skip to Main Content Skip to Footer

Download Our App|(609) 888-3400

Services
Hours & Location
About Us
Contact

Download Our App
(609) 888-3400

Services
Hours & Location
About Us
Contact

New Client Form

Co-Owner Name (first & last):

Co-Owner Phone Number:

Patient Information:

Pet's Name

Age / DOB

Species

Breed

Color

Sex

Female Intact

Female Spayed

Male Intact

Male Neutered

General Information

Previous Veterinarian and Phone Number

How did you hear about us?

Internet Search

Drive By

Client Referral

Other

If you were referred by a client, what is their name?

I understand that my pet’s picture may be used on social media sites.

YES, you can use my pet's photo on social media.

NO, do not use my pet's photo on social media.

Reason for your pet's visit:

Financial Policy

Payment is due in full at the time of service. No checks are accepted for first (1st) time clients. If a credit card is used for payment, the owner of the credit card must be present at the time of payment. A phone call is not acceptable.

Hamilton Veterinary Hospital has a charge of $30.00 for clients who miss appointments without 24-hour notice. For clients with pet insurance, we are happy to provide you with any necessary documentation for you to submit to your insurance carrier. If you have any questions, please do not hesitate to ask. We are here to provide the best veterinary care available to your pet. Late arrivals may result in a longer wait time.

Please type your full name below acknowledging the above statement, which will serve as your signature of this document.*

Full Name:
Date:

Hamilton Veterinary Hospital

18 East Park Ave
Trenton, NJ 08610

phone: (609) 888-3400
fax: (609) 888-1878 • email us

Serving the Trenton, NJ area, including (but not limited to): Hamilton, Ewing, Yardville, Bordentown, and Yardley, PA.

Make an Appointment Request a Refill

© 2024 Hamilton Veterinary Hospital. All rights reserved. View our Privacy Policy.