New Client Form

New Client Check-In Form

If you would like to make an appointment, you can assist us to expedite your check in by submitting this form. Thank you for your cooperation in letting us assist you.

Pet Information

MaleFemale
NeuteredSpayedNone
YesNoNot Sure
YesNoNot Sure
YesNo

Appointment Information

Please Read

I understand, by indicating I agree and submitting this registration, that I am responsible for any charges incurred by my pet while in the care of the doctors at Sleepy Hollow Animal Hospital and that charges are due and payable at the time of service, unless other arrangements are made in advance.

Any balance that is carried over a period of 30 days will accrue a monthly finance charge of 1.5 percent or 18 percent per annum. Any balance that I leave unpaid will be forwarded to Sleepy Hollow Animal Hospital's collection agency, and will incur a 25 percent collection fee for which I am liable, in addition to monthly finance charges.

I AgreeI Disagree