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New Client Form

Complete our New Client form online from any device at any time before your visit.

New Client Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pet before your visit.

PDF Form

Just fill out and send to our team at northgateanimal.xray@gmail.com.

NORTHGATE ANIMAL HOSPITAL NEW CLIENT FORM

We will gladly prepare a written estimate if you desire. Please ask the receptionist or doctor. Professional fees are due at the time services are rendered.

****Please note all new clients are required to make a $52 deposit in order to book their first appointment with us. This deposit will be non-refundable if you cancel your appointment with less than 24 hours notice.****

We accept: Cash, Mastercard, Visa, Discover, American Express, Care Credit, and Scratchpay

Appointment Cancellation Policy:

Canceling a scheduled appointment with less than a 24-hour notice or a “no-show” significantly limits our ability to make the appointment available for another patient in need.

  • A “no show” means the appointment was made, and the owner and patient did not arrive at the scheduled time.
  • A “late cancellation” is an appointment canceled or rescheduled within 24 hours.

As a courtesy, we send reminder texts for appointments one day in advance. Please note if a reminder message is not received, the cancellation policy remains in effect

Client Conduct and Online Interaction

Rude, disrespectful, or abusive behavior towards our staff is unacceptable and will not be tolerated.

Negative interactions on any online platform or in person will negatively impact the trust and rapport we share with our clients.

Such actions are inconsistent with the values of our practice and can harm our ability to provide exceptional care. The consequence of negative online interactions or poor client conduct will result in the termination of services. You will be notified via email with a copy of your pet’s medical record to ensure continuity of care.

Other Policies

We require a minimum of 24 hours notice for a prescription refill.

All fees are due and payable upon completion of visit.

I, THE APPLICANT(S) CERTIFY ALL INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. BY SIGNING BELOW I ACKNOWLEDGE THAT I HAVE FULLY READ, UNDERSTAND, AND AGREE TO THE ABOVE POLICIES

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