New Client Form
Please fill out the form completely.
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  • Pet Information

    Please give us some information about your pet! You only need to enter information about one of your pets for this form. If this information is given on their previous medical records or paperwork, you do not have to enter it here.
  • Authorization

    By typing your name below, you acknowledge the following:
    I verify that all the above information is accurate. I hereby authorize the veterinarians of The Colony Animal Clinic, PA, and their support staff, to perform diagnostic, therapeutic, and surgical procedures, and to administer and prescribe the medications deemed necessary and advisable for my pet(s) treatment and well being. The nature of such services has been discussed with me, and while I expect all procedures to be done to the best of the professional staff's abilities, I realized that no guarantee or warranty can ethically or professionally be made regarding the results of cure. I authorize the clinic to provide veterinary services as requested or, in emergency circumstances, to follow through with such procedures as are necessary for the well being of my pet on a continuing basis until further advised in writing. As the responsible guardian of this pet(s), I am 18 years old or over. I assume full responsibility for all charges incurred in the care of my pet. I also understand that all professional fees are due at the time services are rendered.
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