New Client Form

Owners Name *

First Name

Last Name

Partner's Name (if applicable)

First Name

Last Name

Mobile Phone *

(###)

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Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Primary Care Veterinary Clinic Phone Number *

(###)

###

####

Aggressive?

People

Animals

Both

Any pertinent radiographs, bloodwork or information? If Yes, please have them send over from the veterinary hospital to rtgvetrehab@gmail.com *

Yes

No

Ready To Go Veterinary Rehab Policies *

1. Cancellation Policy - if you cancel your appointment within 2 business days you will be charged 1/2 of you visit fee. 2. Late Appointments - As a courtesy to others if you are more than 10 minutes late for your appointment it may need to be rescheduled and subject to the cancellation fee. We appreciate you arriving in time to start your appointment. When one person is late it make everyone else late. 3. Pets must be on a leash or in a carrier. 4. Facility Landscape - Please do not let your dogs pee on any of the buildings or shrubbery at the entrances of any of the buildings. Please pickup after your dogs. 5. We have a zero tolerance policy for the use of profanity, verbal threats, or any act of violence or aggression. These behaviors will not be tolerated and we reserve the right to refuse service.

Please click the box after reading the policies listed above.