205-452-2562 info.bigspringsvetclinic@gmail.com

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New Client Form

Welcome to Big Springs Veterinary Clinic! Please complete your new client form online before your first visit.

BigSprings-Forms-NewClient

New Client Form

Name *

First

Last

Email *

Primary Phone *

Secondary Phone

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Who else is authorized to make decisions about your pet's healthcare? *

First

Last

Phone

How did you find out about our hospital? If you were referred by someone, who should we thank? *

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

Yes
No

What is the microchip number?

Do you have another pet? *

Yes
No

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

Yes
No

What is the microchip number?

Do you have another pet? *

Yes
No

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

Yes
No

What is the microchip number?

Payment is due in full at the time that services are performed. If being admitted into the hospital, we cannot begin the care of your Pet until you have confirmed your desire to do so by 1) signing the client consent & estimate form, and 2) leaving an initial deposit of 50% of the upper end of the estimate. This is the only way that we have of knowing for certain that you want us to proceed with the care of your Pet. All hospitalized patients will require a deposit based off an estimate provided prior to hospitalization. We accept Cash, Visa, MasterCard, Discover, Scratchpay, and CareCredit payments. We neither extend credit, nor bill for services. *

I have read and accept the financial policy.

Comment

We’re Excited to Meet You

We proudly serve the pets of Argo, Springville, Trussville, Moody, Oneonta, Odenville, and surrounding areas. We look forward to seeing you and your pet!

Please note: We will be seeing patients by appointments only!

Call Us

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Contact us

P: (205) 452-2562
F: (205) 452-2586
E: info.bigspringsvetclinic@gmail.com

Address

7970 U.S. Hwy 11
Springville, AL 35146

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Hours

Mon – Fri: 7:30am to 5:30pm
Sat & Sun: Closed
Closed everyday between 12pm to 1pm

After hours emergency call: Emergency Pet Care 205-661-2273, Steel City Emergency Services 205-413-8989, or VSB 205-967-9107.

Have a question?

Get in touch! Complete our online form, and a member of our team will be in touch with you shortly.

Name *

First

Last

Email *

Phone

How can we help you? *

Email

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