Electronic New Patient Registration Form

Before filling out the registration form, call and schedule an appointment or submit an appointment request online.

Please have any previous medical records sent to the clinic prior to your visit via email at [email protected] or fax at 517-655-5050.

Provide the information below as completely as possible. All information is strictly confidential.

Pet Information

Statement Of Ownership

By checking below, you certify that you are the owner and or agent of the above animal and have the authorization to consent to treatment if and when it is needed.

Records Release

By checking below, you authorize the release of requested medical information to other veterinary clinics and/or boarding/grooming facilities.

Hospital Policies

By checking below, you acknowledge that you have read and agree to our hospital policies.