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New Patient Form

If your pet is a new patient at Tri-County Animal Clinic, please fill out our New Patient Form below.

New Patient Form

Owner Information

Emergency Contact

Patient Information

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 Tri-County Animal Clinic to release patient information to the primary care hospital or veterinarian.
By submitting this form, I hereby authorize Tri-County Animal Clinic 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 Tri-County Animal Clinic.

New Patients Welcome

Tri-County Animal Clinic is accepting new patients! Our experienced vets are passionate about the health of Louisa companion animals. Get in touch today to book your pet's first appointment.

Contact Us

Contact (606) 673-1144