New Client Form

Thank you for giving Chester Animal Clinic the opportunity to care for your pet(s). To ensure the best care possible, please fill out this form completely. We’ll reach out with any questions.

New Client Information

You authorize us to speak to this person about your pet's care in the event we cannot reach you.

New Patient Information

Your full name and personal information will never be used.

Cancellations: If you must cancel an appointment, we ask for 24-hour notice. If cancelling a surgical appointment, we ask for 48-hour notice. A late cancellation or frequent cancellations may result in a fee being applied to your account. Current vaccinations are required by Chester Animal Clinic before we may admit any animal for any reason. We are a flea-free hospital so if your pet is found to have fleas, we will administer flea control at your cost. These measures are taken to protect the well-being of all animals within our hospital.

Treatment Consent: I hereby authorize the veterinarian to examine, prescribe for or treat the above-described pet(s). I assume responsibility for all charges incurred in the care of this animal. I understand that payment is always due in full at the time of services rendered.

For your convenience we accept Visa, Mastercard, American Express, Discover, Care Credit, Scratch Pay, Trupanion Express and cash. Please stop at the reception desk to review and pay for services.