Please fill out our New Patient Form using one of the options below if your pet is a new patient at Ace Animal Hospital.

Client Update Information Form

Option 1

Complete Online

Complete and submit the online form below. Please also download and complete the following form.

Client Update Info Form

Option 2

Print & Complete

Bring the completed forms with you to our hospital.

Download Form
Client Update Info Form

Option 3

Complete on Arrival

If you prefer, fill out the form when you get to our hospital.

New Patient Form

New Client Policy

For new clients at Ace Animal Hospital an exam fee deposit is required in order to secure your appointment. The exam fee deposit is non-refundable. However, if you need to cancel your appointment the deposit will be held for up to a year and can be applied towards a rescheduled appointment within the year.

Owner Information

Owner First Name *

Owner Last Name *

Secondary Owner / Authorized Agent Name

Email *

Primary Phone *

Mobile Phone

Work Phone

Address *

City *

State *

Zip Code *

Employer

Occupation

Date of Birth *

How did you hear about us? *

Primary Care Veterinarian

Internet

Friend / Family

Community Event

Signage

Printed Publication

Radio

Other

Emergency Contact

Primary Emergency Contact Name *

Primary Emergency Contact Phone *

Secondary Emergency Contact Name

Secondary Emergency Contact Phone

Do you authorize your emergency contact(s) to make urgent treatment decisions if you are unreachable? *

Yes

Do you authorize your emergency contact(s) to receive patient information in addition to your primary care veterinarians? *

Yes

Patient Information

Pet Name *

Birth Date / Age *

Species *

Breed / Other Species *

Color

Vaccination Status *

Gender *

Spayed or Neutered? *

Presenting problem, special needs, concerns *

Primary Veterinarian Information

Please fill this section in if we are not your primary care veterinary hospital. By listing your primary care veterinarian, you are authorizing Ace Animal Hospital to release patient information to the primary care hospital or veterinarian.

Primary Care Facility

Primary Care Veterinarian(s)

By submitting this form, I hereby authorize Ace Animal Hospital to render medical care for my pet(s) as deemed necessary by the veterinarian. I understand that no guarantee can be given to the outcome of treatments and take it as my responsibility to comprehend any risks involved. I agree to pay for the cost of all services to which I consent to by written or verbal estimate. I understand that a deposit is required before diagnostics and treatments can be initiated and that payment in full is required prior to discharge of patient from Ace Animal Hospital.

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Patients

Patients
New Patient Form
Pet Care Tips
Financing Options

Pet Records Sign-in Emergencies

Happy Tails from Clients

My pets have had wonderful care from Dr. Longley. She was willing to explain all the options and costs in detail. She cared for my 20-year-old cat who developed kidney disease, as well as my cat Rocky and dog Eddie, who has back trouble. The vets are patient, positive, and willing to work with you to have the best care possible. I highly recommend them! The techs and office staff have been great too.
- Barbara B.

New Patient Form

Option 1

Complete Online

Option 2

Print & Complete

Option 3

Complete on Arrival

New Patient Form

New Client Policy

Owner Information

Emergency Contact

Patient Information

Primary Veterinarian Information

New Patients Welcome

Ace Animal Hospital is temporarily closed.

If your pet requires care, please contact:

We apologize for any inconvenience and look forward to seeing you soon!