201-441-1118
info@vetsonthehudson.com
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New Client Form

Save time during your next appointment. Complete your new client form online from any device at any time before your visit.

New Client Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pets before your visit.

Primary Owner’s Name *

First

Last

Date of Birth *

Cell Phone *

License/Valid ID State *

ID Number

Co-owner Name

First

Last

Date of Birth

Co-owner Cell Phone

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email Address *

(Please provide the best email to receive information and updates on your pet’s health - ALL LAB RESULTS WILL BE COMMUNICATED VIA EMAIL)

Preferred Method of Contact for Important Updates / Lab Results

Email

Emergency Contact Name *

First

Last

Phone

Pet Information

Patient Name *

Breed *

Color(s) *

DOB *

Sex *

Neuter/Spay *

Yes
No

Pet insurance provider *

Policy number *

Previous Vet Clinic *

Phone Number

May we post photos of your pet on social media? *

Yes
No

Pets social media handle and platform

How did you hear about us? *

CAMERA USE:

I understand that Vets on the Hudson may be filming while in their building. I understand that for staff safety, I am not allowed to film while inside the building, not limited to: the lobby, exam rooms or treatment areas.

Signature of client/owner responsible for pet(s) *

Clear Signature

PHARMACY AND LAB WORK POLICY:

I understand that Vets on the Hudson only approve online prescriptions through their online pharmacy, Vets First Choice, and Chewy. If I would like to use another pharmacy, I will have to pick up a written prescription. No prescriptions will be approved over the phone or via fax. Please allow 24-48 hours for any medication or prescription preparation. I also understand that all outside laboratory work can take 5-7 business days. It is possible that lab results may not be given to me until all labs have been finalized.

Signature of client/owner responsible for pet(s) *

Clear Signature

APPOINTMENT TIME FRAME:

Appointments here with Vets on the Hudson are 30 minutes. Please be considerate of our time and of others. We have a 10 minute grace period. If you are more than 10 minutes late, Vets on the Hudson holds the right to cancel or reschedule your appointment. Any missed appointments are subject to our cancellation policy.

Signature of client/owner responsible for pet(s) *

Clear Signature

CANCELLATION POLICY:

We have a 24 hour cancellation policy for all appointments; If you need to cancel or reschedule your appointment, please allow 24 hours. If 24 hour notice is not given, you will be charged a missed appointment fee. This also applies to NO SHOWS. If you do not show for a scheduled appointment, you will be asked to give a non-refundable deposit in order to schedule another appointment, as well as pay your missed appointment fee.

For all Surgeries / Dentals / Procedures - We have a 7 day cancellation policy; If you need to cancel or reschedule, please allow 7 days. A non-refundable deposit of $400 is required at time of scheduling. If a 7 day notice is not given, your deposit will be kept and not refunded. This also applies to NO SHOWS. If you do not show for a scheduled surgery / dental / procedure, you forfeit your deposit. In order to reschedule the surgery / dental / procedure, it is required to pay the balance of your estimate at time of scheduling. **This does not apply to specialty surgeries performed by a traveling surgery specialist**

Signature of client/owner responsible for pet(s) *

Clear Signature

AUTHORIZATION:

I hereby authorize the veterinarian to examine, prescribe for, or treat the above-described pet(s) and any other pets I have given permission to be on my account in the future. I assume full responsibility for all charges incurred in the care of the animal(s). I verified all the above information is correct. I also understand that ALL PROFESSIONAL FEES ARE DUE AT THE TIME OF SERVICES RENDERED.

Signature of client/owner responsible for pet(s) *

Clear Signature

Date *

Comment

Book An Appointment Today!

We proudly serve the pets of Edgewater, NJ, and the surrounding areas. We look forward to seeing you and your pet! Please click on the button below to book an appointment online.

Have a Question?

If you need anything at all for your pet, please use the information below to contact us.

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Our Location

340 Old River Road
Edgewater, NJ 07020

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Get in Touch

Phone: 201-441-1118
Email: info@vetsonthehudson.com

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Clinic Hours

Tuesday: 10 am – 5 pm
Wednesday: 9 am – 5 pm
Thursday & Friday: 9 am – 7 pm
Saturday: 10 am – 5 pm
We are closed on Sunday and Monday.

Name *

First

Last

Email *

Phone

How can we help you? *

Phone

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