New Client Form

Date Of Birth (Needed To Prescribe Prescriptions)

How Did You Hear About Us?

Personal Recommendation – Who May We Thank?

All fees are due and payable at the time of patient’s release or at time services are rendered. I am responsible for these services and will make payment in full.

New Patient Form

Please complete the following information about your pet (s) as completely as possible:

How Many Pets Are You Going To Register Today?

Photo Consent

I hereby grant Golden Valley Vet Hospital, It's representatives and employees permission to take photographs of myself and/or my pet, and to publish those photographs for any lawful purpose, including, but not limited to, their website, social media accounts and promotional materials, either digital or in print, in perpetuity. I also grant permission to use my name and/or my pet's name. By signing this document I athorize Golden Valeey Vet Hospital to edit, alter, share, remix, tweak, build upon or in any way alter the photograph(s) mentioned above. I also waive any rights of privacy or compensation associated with the use of my or my pet's image(s) and name(s) for the personal or commercial purposes outlined above.

Type Your Initials To Sign.