New Client Form

A deposit of $100.00 is required for all new clients and is due when the initial appointment is scheduled.  The deposit funds will be applied toward your pet’s first appointment.  The deposit is non-refundable for “no shows” or if the appointment is canceled without giving 24 hours’ advanced notice. Thank you.

We are glad to have the opportunity to care for your pet. Our mission is to provide compassionate care by our dedicated experts. To ensure exceptional service, please fill out this form completely. Please email your pet's medical records or fax to 1-800-549-3114.
  • Co-Owner Information

  • Your Pet's Information

  • MM slash DD slash YYYY
  • Second Pet (if applicable)

  • MM slash DD slash YYYY
  • Referral Information

  • If it s a personal referral, please let us know their name! As a token of our appreciation, a $20.00 credit will be applied to their RVAH account for this referral.
  • This field is for validation purposes and should be left unchanged.