Home About Us Services Hours and Directions News & Events Pet Health Rx Refills Links New Client Info

New Client Info

If you are new to Smith Veterinary Hospital
You can fill out the new client information online ahead of time, or you can come approximately 15 minutes early to get checked in for your appointment. If you would prefer you can print out the new client form and fill it out prior to your appointment. New Client Check In Form (PDF)

We have appointments Monday through Saturday and we typically schedule one half hour for an appointment. We usually have two doctors on during the week and one doctor on Saturday. Please note: Saturday tends to be a very busy day, so you may have a slightly longer wait. We perform surgeries Monday through Friday. If we have not seen your pet before, we recommend setting up an appointment with the doctor prior to the surgery so we can make sure your pet is healthy enough and answer any questions you have about the procedure, recovery, etc.

If your animal has previous medical records (including vaccinations), please bring a copy with you to your appointment, or you can have your previous veterinarian fax the records to us at 952-882-0798 prior to your appointment.

What else should you bring to your appointment?
Fecal (stool) sample - New puppy or kitten, annual health exams, or if your pet has loose or abnormal stools. We only need a small amount, it should be less than 24 hours old and should not be dried out or frozen. It is okay if there is litter or grass on the sample.

AKC (or CKC) Registration – We need this information if you are coming in for any OFA procedures (hip and elbow x-rays, thyroid registry, cardiac, etc). We also need this information for certain reproduction procedures or other health screening (semen freezing, DNA, etc.). We can make a copy of your dog’s registration and keep it in his/her chart for future testing as well.

Please call 952-736-8278 to set up an appointment for your pet. Please let the receptionist know the nature of your visit so we can let you know if there is anything special you need to do.

New Client Check In Form:
Owner Name:		Spouse/Other:
Address:		Email:
City:		Home Phone:
State:		Work Phone:
Zip:		Cell Phone:
Employer's Name:		Pager:
How did you find out about our hospital?

Individual: Someone we may thank?		Hospital sign:
Internet: What site?		Yellow pages for services:
Other:		Yellow pages for location:

We consider our pet(s): Part of the family Just as pets

PROFESSIONAL FEES ARE DUE AT THE TIME SERVICES ARE RENDERED.
Please note your preferred method of payment:

Credit card:

Would you like us to put your credit card number into our computer?

Yes No

Personal Check

Corporate Check

Cash

Pet Information:
Pet's name:		Breed:
Date of Birth:		Sex:
Spayed/Neutered?:		Color:
Microchip/Tattoo ID #?:

Any significant injury or illness?:

Canine	Date of last vaccination	Feline/Exotic	Date of last vaccination
Distemper		Distemper
Hepatitis		FIV
Parainfluenza		Leukemia Test
Parvovirus		Leukemia Vax
Coronavirus		Rabies
Kennel Cough
Rabies

Where did you get your pet?
Humane Society/Rescue Group	Breeder	Advertisement	Friend
Pet Shop	Stray	Other

I hereby authorize the veterinarian to examine, prescribe for, or treat the above-described pet. I assume responsibility for all charges incurred in the care of the animal.

Your Name:		Date: