(252) 746-1503
welcome.waggin@yahoo.com
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Home
About Us
Our Team
FAQs
Testimonials
Photo Gallery
Services
Cat-Friendly Care
Urgent & Emergency Care
Wellness & Preventative Care
Cryotherapy
View All Services
Resources
Payment Options
Emergency Clinic
Forms
New Client Form
Anesthesia Consent Form
Online Pharmacy
Careers
Contact
Appointment
Ayden, NC
New Client Form
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Who else is authorized to make decisions about your pet's healthcare?
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How did you find out about our hospital? If you were referred by someone, who should we thank?
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Do you have a second pet?
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Age/Date of Birth
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Sex
*
Male
Neutered Male
Female
Spayed Female
Does your pet have a microchip identification?
*
Yes
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What is the microchip number?
Cash, microchip in
Do you have a third pet?
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Pet's Name
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Breed
*
Age/Date of Birth
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Sex
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Male
Neutered Male
Female
Spayed Female
Does your pet have a microchip identification?
*
Yes
No
What is the microchip number?
Do you have a fourth pet?
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No
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?
*
Yes
No
What is the microchip number?
Do you have a fifth pet?
*
Yes
No
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?
*
Yes
No
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 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.
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I have read and accept the financial policy.
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