Boarding Information Form

New Patient Form

Welcome to Duluth Animal Hospital! We strive to provide excellent and personalized care to you and your pet. Thank you for trusting us with your pet’s needs. Please fill out the following information for our records.

Ex. Tan, Merle, Calico, Black, etc

Your pet's prior medical history is crucial to understanding their individual needs and helps prevent unnecessary services or vaccinations. If you are emailing records directly to us, please send them to admin@duluthanimalhospital.com at least one day before your appointment.

Date
Date

Authorization

I authorize the veterinarian to examine my pet, prescribe medications for, and conduct treatments as needed. I assume responsibility for all charges incurred in the care of my animal. I have exclusive authority to authorize this treatment. I also understand that full payment (cash, American Express, Visa, Mastercard, Discover, or CareCredit) is due when services are rendered. Checks are not accepted.

Clear Signature