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Online Forms

Main Street Veterinary Hospital offers patient form(s) online so you can complete them in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.

  • Download the necessary form(s), print it out, and fill in the required information.

  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Registration Form - Required

Please complete this form with your and your pet's basic information so that we may effectively and efficiently provide the service you deserve!

Download & Print Form

New Patient Registration Form

Client Information

Are you 18 years of age or older?

Pet Information

Pet 1

Spayed/Neutered

Pet 2

Spayed/Neutered

Pet 3

Spayed/Neutered

Payment Policy & Permissions

Payment is due in full at the time of services rendered.

We accept cash, checks, all major credit cards, Care Credit and ScratchPay. A $30 service charge will be applied to any checks returned unpaid.


I hereby grant Main Street Veterinary Hospital, its representatives and employees, the right to take photographs/video of myself and/or my pet(s) for such purposes as publicity, illustration, or advertising in print and/or electronically.

I hereby grant Main Street Veterinary Hospital, its representatives and employees, permission to share my pet’s full medical records with any and all animal boarding, grooming, and/or medical facilities.

By signing below, I am authorizing the veterinarians and staff of Main Street Veterinary Hospital to examine, prescribe for and treat the above described pets. I am 18 years of age or older. I assume responsibility for all charges incurred in the care of the described pets. I also understand that ALL PROFESSIONAL FEES ARE DUE AT THE TIME SERVICES ARE RENDERED.

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