Please Note: We will be closed on Thursday, November 28th in observance of Thanksgiving!

Thank You FOr Choosing Us

New Client Form

Name: Hawk Ridge Animal Hospital
Address: 711 Robert Raymond Dr, Lake St Louis, MO, 63367, United States
Telephone: 636-755-9500
Price range: $

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New Client Form

Thank you for choosing Hawk Ridge Animal Hospital as your preferred Lake St Louis veterinarian. Please fill out the following form as thoroughly as possible before your first appointment with us. If you have any questions, please don’t hesitate to call us at 636-755-9500.

Name *

First

Last

Email *

Primary Phone *

Phone Type *

Cell
Home
Work
Spouse's Cell
Spouse's Work

Secondary Phone

Phone Type

Cell
Home
Work
Spouse's Cell
Spouse's Work

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 our hospital? If you were referred by someone, who should we thank? *

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Color *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

May we contact your previous veterinarian?

Veterinary Hospital Name

Veterinary Hospital Phone 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, Check, Visa, MasterCard, Discover, and American Express payments. We neither extend credit, nor bill for services. All open invoices are sent to collections after 45 days unless prior arrangements are made. *

I have read and accept the financial policy.

Comment

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