New Client Registration Form 2017-05-20T07:07:36+00:00

New Patient/Client Information

WELCOME TO DRIPPING SPRINGS ANIMAL HOSPITAL

Thank you for giving us the opportunity to provide quality care for your pet(s).

  • PAYMENT IS DUE IN FULL AT THE TIME SERVICES ARE RENDERED

    I understand that if I do not pay this account as agreed, the account is subject to costs of collection, attorney fees, and including interest (any balance that is carried over a period of 30 days will accrue a monthly finance charge of 1.5% or 18% per annum). Return check fee is $30.00 plus tax. I understand that the hospital staff will provide an estimate of current and anticipated charges any time I request one. I am requesting that veterinary care be provided for pets presented by me or my agents. I understand that I am financially responsible for all services provided.

    To prevent the spread of infectious disease and parasites all in-patients, out-patients, boarders and grooming pets must be current on all vaccines and be free of parasites. I understand this to be the strict policy of the clinic and authorize the doctors to provide my pet or pets with vaccinations and parasite control as needed.
  • About Pet 1

  • VACCINATION & LAB HISTORY

    (Dates Last Given)
  • About Pet 2

  • VACCINATION & LAB HISTORY

    Dates Last Given