New Client Form for Bay Area Pet Hospital

Thank you for choosing Bay Area Pet Hospital for your pet’s veterinary care. To help us deliver prompt and personalized treatment, please complete our new client form before your visit. This information allows our team to better understand your pet’s health needs and streamline your check-in process. If you have any questions while filling out the form, feel free to give us a call at (231) 922-0911.

white lab giving Dr. Inman kisses

Complete Our Form

New Client Form
Have you ever brought a pet to Bay Area Pet Hospital?
Owner's Name
Owner's Name
Address
Address
How would you prefer to be contacted?
Is there someone you would like listed as a secondary contact?
Secondary Contact's Name
Secondary Contact's Name
Secondary Contact's Relationship
Is the secondary contact able to make medical and financial decisions?
Do you have a regular veterinary office?
Do you authorize Bay Area Pet Hospital to share your pet's records with any animal facility that requests such information? This does include your regular veterinary clinic.

Patient Information

Sex
Is your pet spayed/neutered?
Does your pet have any known drug allergies/reactions?

Client Policies & Procedures

We want you to be aware of and understand the following policies and procedures for all clients.

Financial Policy:

Our office accepts Visa, Mastercard, Discover, and American Express. We also accept cash and checks (only with verification of a valid driver's license at the time of payment).

In addition, we also offer a couple of third-party financing options, including CareCredit and VetBilling.

Full payment is expected at the time of service. If you are unable to pay for the estimated charges in full, please alert staff so we can assist you with treatment/payment options.

In the event that your pet is hospitalized for treatment or surgery, we require 50% of the estimate provided by your veterinarian as a deposit. The remaining balance must be paid in full at the time your pet is discharged.

Owner's Release:

Bay Area Pet Hospital and staff WILL NOT be held liable for any problems that develop with my pet, provided reasonable care and precautions are followed. Despite the best efforts of the hospital, I understand that my pet may die as a result of its disease or condition. I understand that this does not relieve me of my financial obligations to Bay Area Pet Hospital for any and all charges incurred. I agree to pay for the reasonable cost of collection, interest, attorney fees, and court costs in the event that payment is not made and collection efforts become necessary. I agree that the venue of this action will be in Grand Traverse County. If I neglect to pick up my pet within five (5) days of the date below and fail to notify you in writing, within that time frame, you may assume that the pet is abandoned and Bay Area Pet Hospital is hereby authorized to dispose of the pet as deemed fit and/or necessary.

The above information is true to the best of my knowledge. I agree to pay for all services rendered at the time my pet is discharged from Bay Area Pet Hospital. I understand that I am financially responsible for any balance incurred for treatment or services performed on my pet.