Welcome to Coastal Animal Hospital!


We are excited to meet you and your furry family member and do our best to respect your time and make the visit as efficient as possible. To that end, please fill out the form below prior to your visit so we can cut down on the logistic paperwork upon your arrival.

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New Client Information Form

We'll start with your info, then we find out about your furry friend next.

Your Pet's Info

Now let's get to the good stuff. Tell us about your little friend.

Dog Vaccines (date last given)

Cat Vaccines (date last given)

Have another friend?

Enter your second pet's info here, if needed.

Dog Vaccines (date last given)

Cat Vaccines (date last given)

The above information is accurate and true to the best of my knowledge and I hereby authorize the veterinarian and technicians to examine, diagnose, and treat my aforementioned pet(s). I assume responsibility for all charges incurred in the care of this animal and that these charges will be paid at the time of release. I understand that a down payment will be required for surgical treatments or for hospitalized patients. If payment becomes 30 days past due, service charges at an APR of 18% and a $5.00/month billing fee will be added to the balance due. I hereby consent to release any photo(s) and/or video images taken of my pet(s) by Coastal Animal Hospital for social media and/or marketing purposes.