Checking this box acknowledges that you are aware that Hall Veterinary Services is booking new client exams 4-6 weeks out from the form submission date.

I understand

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 Hall Veterinary Services? If you were referred by someone, who should we thank?

Previous Vet Name *

Previous Vet Phone *

Previous Vet Email

Previous Vet Records

Click or drag files to this area to upload. You can upload up to 10 files.

Please upload documents

Pet Information

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Sex *

Male
Neutered Male
Female
Spayed Female

Pet Age/D.O.B. *

Does your pet have a microchip identification?

Yes
No

What is the microchip number?

What clinic was your pet previously seen at?

Reason for visit? *

Preferred appointment time and day?

Do you give Hall Veterinary Services permission to use photos of your pet for social media?

Yes
No

What is your preferred contact method?

Phone
Email
Text

Do you have a second 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?

Do you have a third 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?

Do you have a fourth 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?

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. We accept cash, Visa, MasterCard, Discover, and CareCredit payments. Beginning 7/1/25, the following fees will apply: A 3% card processing fee will be added to all credit and debit card purchases. A $35 returned check fee will be charged for any check payments that are returned due to insufficient funds or other bank-related issues. Submission of this form acknowledges you have read and accept our financial policies. We neither extend credit, nor bill for services. All open invoices are sent to collections after 45 days unless prior arrangements are made.

Clients who cancel their appointment less than 24 hours ahead of their scheduled appointment time, but before the day of the appointment, shall be subject to a “24 hours or less cancellation” fee of $75.00. Appointments that are cancelled the same day (or after-hours the day before) or no-show appointments will be charged a fee of $125.00. This fee will be assessed per appointment scheduled and will need to be paid prior to any additional visits being scheduled.

I have read and accept the financial policy.

*

By checking this box, I agree to be contacted by Hall Veterinary Services via call, email, and text. To opt out, you can reply 'stop’ at any time. For more information, see our privacy policy. Message and data rates may apply.

New Client Form

New Client Form

Pet Information

Request A Mobile Visit

Make An Appointment

Have a Question?

Mailing Address

Contact Information

Hours