Please Note: We will be closing early at 4 PM on Wednesday, November 27th and will be closed on Thursday, November 28th for Thanksgiving!

New Patient
Registration Form

Save time at your first appointment! Complete your required new patient registration form online before your visit.

Get Started

New Patient Registration Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit.

Client information

Name *

First

Last

Spouse’s Name

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Home Phone *

Cell

Work

Preferred Number

Email *

How did you hear about us? *

Pet Information

Name *

Species *

Breed *

Gender *

Neutered/Spayed *

Date of Birth *

Microchip/Tattoo Number:

Color *

Date of Rabies Vaccination

Expiration

How would you describe your pet's reaction to going to the veterinary hospital? *

What do you feed your pet and how often?

Current Medications & Supplements

Important prior medical or surgical information?

Is this pet owned/registered solely by you? If no, you must fill out the multiple ownership of dogs/cats section below: Primary Contact name

The legal owners of the above-named dog/cat are listed below. Slade Veterinary Hospital has the right to speak to and give out medical information to any of these co-owners. I/We agree that the person who signs any authorization agreement is responsible for any and all charges at Slade Veterinary Hospital, regardless of any financial arrangements between the co-owners.

Names

Reason for appointment

Routine Services
Reproductive Services
Sick Visit

The above information is correct and true to the best of my knowledge. *

I have read and agree

Date *

Please send all previous medical records to: reception@sladevet.com
Kindly be aware that payment is due at the time of services.
You can expect to receive a response within 24 hours of submitting this form.

Phone

Email

New Patient
Registration Form

New Patient Registration Form

Client information

Pet Information

Ready to Visit?

Location

Contact Information

Hours

Have a question?

We proudly serve the pets of Framingham, MA,
New England, and surrounding areas:

New PatientRegistration Form

New Patient Registration Form

Client information

Pet Information

New Patient
Registration Form