This form is intended to ensure your contact information is up to date for our records. We ask this to be completed any time a new pet is scheduled, for both new and existing clients.

  • Owner's Information

    Please let us know your preferred form of communication for any time we need to reach out regarding your pet's health, diagnostic testing or results.
  • Secondary Contact Information

    Please let us know your preferred form of communication for any time we need to reach out regarding your pet's health, diagnostic testing or results.
  • PAYMENT POLICY

    All fees are due at the time services are rendered. If you have any questions about projected costs, please let us know. We will be happy to provide you with an Personalized Estimate outlining costs.
    Check all that may apply
  • Referral

  • PET INFORMATION

  • PET QUESTIONNAIRE

  • Drop files here or
    Max. file size: 64 MB.
    • Drop files here or
      Max. file size: 64 MB.
      • If you do not have access to your pet’s prior records, we are happy to contact your prior vet’s office on your behalf to request records. 

        If no, please contact the prior vet at least 48 hours before your first appointment with us and request they send all of your pet’s medical records and vaccine history for your pet to our email at frontdesk@telfordvet.com
      • If yes, please provide the following information.
        1. Name of your pet’s prior vet location(s)
        2. Phone number of prior vet location(s)
        3. Your specific pet’s name, owner’s first and last name, as well as owner’s phone number if it is different than what is provided in this form. (For example, if you have changed your pet’s name since adoption or if prior owners handled vet visits and the office files would be under a different name than your own.)
        4. If all the owner contact information and pet’s name is the same at the prior vet as it is provided in this form, please note this by entering “Same Information” below.