New Client Form

Thank you for choosing Trusted Friend Animal Clinic! Please fill out the form below.

New Client Form

Name: Trusted Friend Animal Clinic
Address: 5975 Roswell Rd, Ste C-309, Sandy Springs, GA, 30328, United States
Telephone: 404-907-1404
Price range: $

Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit. If this is an emergency, or if your pet needs urgent care, please call us at 404-907-1404 for a faster response.

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 (Canine/Dog or Feline/Cat) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Did you have a prior veterinary clinic? If so, please list the name and contact information if you have it so that we can contact them for past medical history and vaccinations.

Does your pet have a microchip identification? *

There may be times when we would like to record audio of your pets appointment. While not required, these recordings help to ensure we have a full and complete medical record. Do you consent to Trusted Friend Animal Clinic creating audio recordings of your pet's appointment? *

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 we have to know for sure that you want us to proceed with the care of your pet. We accept cash, Visa, MasterCard, Discover, 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.

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New Client Form

New Client Form

Quality Veterinary Care in Sandy Springs, GA

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