Thank you for considering our hospital as your pet’s provider of veterinary services. We are dedicated to maintaining the health of your pet and look forward to many future years together.

Please complete this form as fully as possible prior to your first appointment which will help expedite the registration process and give us valuable insight in providing optimal care for your pet(s). The required sections have a * asterisk.
  • Date Format: MM slash DD slash YYYY
  • Owner's Name

  • Co-owner's Name & Contact #

  • Pet Information

  • Photo Release Policy

    From time to time, we may ask if we could take a photo of your pet either for our social media sites, our website or our walls. But, of course, only if we have your permission to do so!
  • Financial information

    Thank you for choosing Town and Country Veterinary Associates for your pet’s healthcare. We strive to provide the highest level of veterinary care available to your pet. We realize that costs are a factor in caring for your pet. This page will outline our financial policy, which includes several different payment options. Please be aware that payment in full is expected at the time of services.
  • Payment Options:

    We accept: Cash, MasterCard, Visa, American Express, Discover, and CareCredit (a CareCredit account offers convenient monthly payments, with no minimum amount. Additionally, the amount may be interest free for up to six months.)
  • Deposits

    For some treatment or hospitalization, a deposit may be required. The amount of the deposit can range from 25% - 50% of the total estimated bill and is due at the time services are begun.
  • Additional Information

    Town and Country Veterinary Associates charges $30.00 for all returned checks. We do not resubmit returned checks. If your check is returned for insufficient funds, payment must immediately be made by cash or credit card. No exceptions. Town and Country Veterinary Associates will charge a $68.00 deposit fee to every new client per pet. New clients who cancel less than 24 hours prior to scheduled appointment or are late, will forfeit their deposit. Any client who misses more than two appointments in one calendar year will be required to pay a $68 fee per pet prior to making a new appointment. For clients with Pet Insurance, we are happy to help provide the necessary documentation to you to file a claim. If you have more than two claim forms that needs supporting paperwork, you must arrange with office staff to have the paperwork prepared and allow us up to 5 business days to gather the information. Additional time may be necessary depending on the amount of documentation needed.
  • Date Format: MM slash DD slash YYYY