New Client Form

We know you have a lot of choices when choosing the best Wilmington veterinary hospital, and we’re happy that you’ve decided to join the Myrtle Grove Animal Hospital family.

If you already have an appointment scheduled, please list the date and time of the appointment below.


MM slash DD slash YYYY

Time

:


If you do not have a scheduled appointment, would you like to be contacted to schedule an appointment?

Name(Required)







Address(Required)















Who else is authorized to make decisions about your pet's health care?(Required)







Pet Species(Required)


Sex(Required)




Does your pet have a microchip identification?(Required)


Payment is due in full at the time that services are performed. If being admitted into the hospital, we cannot begin the care of your pet until you have confirmed your desire to do so by 1) signing the client consent and estimate form and 2) leaving an initial deposit of 50% of the upper end of the estimate. This is the only way that we have of knowing for certain that you want us to proceed with the care of your pet. We accept cash, Visa, MasterCard, Discover, American Express, and CareCredit payments. We neither extend credit, nor bill for services. We DO NOT accept checks. All open invoices are sent to collections after 45 days unless prior arrangements are made. *
Do we have your consent to share your pet's photo and information on social media and our website (your name and personal information will never be shared)?








Make Appointment

Find Us

Services

Online Pharmacy

What's Next

  • 1

    Call us or schedule an
    appointment online.

  • 2

    Meet with a doctor for
    an initial exam.

  • 3

    Put a plan together for
    your pet.

Make Appointment
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