ONLINE FORM

NEW CLIENT FORM

Save time during your pet’s first appointment! Complete your required new client form online.

Online Forms

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.

NEW CLIENT FORM

Client Information

Pet Information

For your convenience, we accept cash, Visa, Mastercard, Discover, American Express and CareCredit. Payment is expected at release, and a deposit may be required for surgical treatment or hospitalization.

I hereby authorize the Veterinarian to examine, prescribe for, or treat all pets I bring in under my account. I give voluntary and informed consent for my pet(s) to undergo treatment and services and release Baseline Animal Hospital, its doctors and staff from all liability and claims. I assume responsibility for all charges incurred in the care of this animal(s). We require all pets to be free of fleas/ticks and to have a maintained coat during any hospital stay.