New Client Information Form
Please fill out as much of this form as possible. You can also download a printable version of this form on the forms page.

The following items will be needed to complete this form:
Vaccination Records
Medical records
County/City Pet License number
A photograph

Have these items ready for the consultation visit:

Your new client information page and pet information forms for each pet (if applicable)
Two keys, or key code information. Please test the keys to be sure it works.
Any additional care information written down.

Do not use your browsers back button to navigate this form. This will cause duplicate submissions and a loss of data entered.
Please use the buttons located at the bottom of the form to navigate forward and back.
1
Contact Info
2
Service
3
Veterinarian
4
Pet Type
5
Feeding
6
Living Area
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1
Contact Info
2
Service
3
Veterinarian
4
Pet Type
5
Feeding
6
Living Area
7
Medical
8
Personality
9
Household Information
10
Veterinary Release
11
Terms & Conditions
12
  • If your county is not listed in the drop down menu, type it here.
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  • Photography Release Form

    I, the undersigned, do hereby consent and agree that Big Yellow Dog Pet Services its employees, or agents have the right to take photographs, videotape, or digital recordings of myself and my pet(s) and to use these in any and all media, now or hereafter known, and exclusively for the purpose of advertising, promotion, and social media content. I further consent that my name and identity may be revealed therein or by descriptive text or commentary.

    I do hereby release to Big Yellow Dog Pet Services, its agents, and employees all rights to exhibit this work in print and electronic form publicly or privately and to market and sell copies. I waive any rights, claims, or interest I may have to control the use of my identity or likeness in whatever media used.

    I understand that there will be no financial or other remuneration for recording me, either for initial or subsequent transmission or playback.

    I also understand that Big Yellow Dog Pet Services is not responsible for any expense or liability incurred as a result of my participation in this recording, including medical expenses due to any sickness or injury incurred as a result.

    I represent that I am at least 18 years of age, have read and understand the foregoing statement, and am competent to execute this agreement.
  • Click yes above if you have read and agree to the Terms and Conditions.
  • PC/Mac: Use your mouse or touch pad to sign your name. Smart phone/Tablet: Use a stylus or your finger to complete your signature.
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