New Client Application

Please note: We will be closed from Monday, July 3rd – Tuesday, July 4th, in observance of the 4th of July!

Thank you for your interest in bringing your pet to Tekonsha Animal Hospital. We will be in contact once we receive your completed application and your pet’s previous vet records.

Thank you for your interest in becoming a client/patient with our hospital. There has been a massive increase in demand for our services. As a result of this huge increase, we are accepting new clients by application only. We are doing this in hopes of maintaining a healthy workplace for our doctors and support staff, allowing us to continue providing outstanding care to our highly valued community of pet owners. If you seek a friendly, compassionate, and attentive family vet here to provide the best care for your pet, we could be the practice for you. If you are the sort of person who thinks of their pet as a furry family member, then you are likely in the right place. Our clients and their pets enjoy: 1. Fear-free visits, so their pets enjoy coming to see us 2. Caring and respectful interactions from our friendly team 3. Wellness and preventative care to avoid illness 4. Explanations of all services and treatments recommended, along with an estimate 5. Adequate length of appointments with veterinarians or technicians so your concerns are addressed. We know this is not what everyone searches for in a vet’s office. Low-cost or no-frills may be what you want. You may not think dental care or vaccines matter. Please understand we are not here to judge you, but we are also not the right practice for you. We believe in being honest and upfront, one of our core values. We want to start our relationship with you and your pet on the best foot. If you would still like to establish your pet with our practice and agree to the above statements, please sign and complete the form below. A team member will contact you soon. We look forward to meeting you. *

I have read the above statements and agree.

Name *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Pet's Name *

Chief complaint or reason for visit: *

Please upload your pet's records here. If you do not have them, please have your previous vet’s office send all of your pet’s records to: [email protected]

Click or drag files to this area to upload. You can upload up to 5 files.

Digital Signature *

Date *

Name