New Patient Form

Client Information

Patient Information

If yes, please bring the certification(s) to your pet’s appointment. If no, please provide your pet’s previous veterinary hospital contact information.

Payment Authorization

Payment must be rendered at the time of service. Payments Accepted:Cash, Check, Credit Card, CareCredit. Personal checks are welcome when accompanied by a driver’s license. If you have any questions regarding your payment, please discuss it with a receptionist before the start of your pet’s visit.

I hereby authorize a veterinarian at Cherry Hill Animal Hospital to examine, prescribe for, or treat the above described pet. I assume responsibility for all charges incurred in the care of this animal.

Thank you for choosing Cherry Hill Animal Hospital for your pet’s healthcare.