New Client Form

Please fill this section in if we are not your primary care veterinary hospital. By listing your primary care veterinarian, you are authorizing Ridgemont Animal Hospital to release patient information to the primary care hospital or veterinarian.

We love to take photos of our patients for educational purposes, marketing, social media, our website and medical charting reasons. No personal information will be used without your permission. Do you consent to allowing us to take and/or use photos of your pet for the above described purposes?

NOTE: A third party may be a groomer, boarding facility, rescues, other animal hospitals/referral centers, etc.

I hereby authorize Ridgemont Animal Hospital to render medical care for my pet(s) as deemed necessary by the
veterinarian. I understand that no guarantee can be given to the outcome of treatments and take it as my
responsibility to comprehend any risks involved. I agree to pay for the cost of all services to which I consent to by written or verbal estimate. I understand that a deposit is required before diagnostics and treatments can be initiated and that payment in full is required prior to discharge of patient from Ridgemont Animal Hospital.