Registration Form

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Woman cuddling with a dog: New Client Registration in Temperance

We're happy that you chose Temperance Animal Hospital for your pet's veterinary care. To make your transition to our practice easier, please complete the new client registration form provided below. Click "Next" to navigate to the next page, then click "Submit" once you're finished. For your first appointment, be sure to bring any past medical records for your pet(s), along with any medications they are currently taking. Get in touch with us if you have any questions!

New Client Form

Welcome to Temperance Animal Hospital. So we may provide you with exceptional service, please share information about you and your pet(s). URGENT situations may occur in which we need to use all available sources to make contact with you.

TO INFORM YOU-Hospitalized pets are not under 24 hour care. An owner may choose to transfer a critical case to the Emergency Clinic for the night or weekend care. The transportation of the pet and emergency clinic fees are the sole responsibility of the owner. All emergency clinic fees are separate from and in addition to any fees of our hospital.

Client Information

Pet Owner's Name
Pet Owner's Name
First
Last
Spouse/Partner Name
Spouse/Partner Name
First
Last
Address
Address
City
State/Province
Zip/Postal