New Client Form

Welcome to Duxbury Animal Hospital. If you’re joining us for the first time, completing your new client registration ahead of your visit helps us welcome you and your pet smoothly and keeps your check-in quick and easy.

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New Client Form

Please fill out the form below with your contact details, your pet’s information, and a brief medical history. Once submitted, your information goes directly to our team so we’re ready for you when you arrive.

Client / Owner Information

Spouse / Co-Owner Information

About Your Pet

Pet Medical History

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Professional Fees Are To Be Paid At Time Of Services

In some cases, an 80% deposit may be required prior to care. An estimate will be provided when necessary.

A missed appointment fee will be applied to any visit that is not canceled within 24 hours of the scheduled time.

I authorize treatment of my pet and agree to pay all fees incurred. I agree to be responsible for paying a $25 fee if my check is returned and a 33 1/3% attorney fee if my balance is turned over for collection.

Clear Signature
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Here to Help

Please note: a separate registration is completed for each pet. If you’re bringing more than one, you’ll be able to register your additional pets as well.

Have questions before your first visit, or need help completing the form? Call us at (781) 737-7820  we’re always glad to help.

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