New Client Form

  • General Information

  • MM slash DD slash YYYY

  • Pet Information

  • Pet Name Date of Birth Breed Color Sex (Male/Female) Neutered/Spayed (Yes or No)  
  • Photography Approval

    We would love for you and your pets to be a part of our social media experience! When you are in the hospital we often catch cute moments on camera that are too good to not be shared.

    By checking YES, you grant Sycamore Vet Hospital, its doctors and employees the right to take photographs and/or videos of you and/or your pet, and to copyright, use and publish the same in print and/or electronically. You agree that Sycamore Vet Hospital may use such photographs/videos of you and your pet without your name and for any lawful purpose, including, for example, such purposes as publicity, illustration, advertising, web content and social media

  • **By inputting your name, you are agreeing to electronically sign this document.
  • Payment is Expected When Services are Rendered

    We regret that we cannot extend credit but payment can be made by cash, check, VISA, Discover, Amex, Mastercard, and CareCredit. There is a $35 charge for returned checks. Accounts turned over to a collection agency will be charged a collection fee.