Online Forms

New Client Form

Save time by filling out forms online! Metz Petz has your new client form ready to fill out at your convenience.

We proudly serve the pets of Ada, OH, Lima, OH, and beyond.

Our compassionate veterinary team is dedicated to providing the highest quality of care possible. We are proud to be your partner in pet health care, and we look forward to meeting all of your veterinary needs.

New Client Form

Owner Name *

First

Last

Alternate Contact *

First

Last

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Primary Phone *

Secondary Phone

Place of Employment *

Employer Phone

Phone

Preferred Location *

Pet's Name *

Age/Date of Birth *

Species (dog, cat) *

Breed *

Color *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

Yes
No

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

I authorize permission to proceed with a medical examination and treatment for the above patients. I assume full responsibility for allcharges incurred in the care of these animals. I understand that these charges must be paid in full at the time of discharge and a deposit is required for any hospitalizations, treatments, diagnostics, or surgical procedures. I understand that, should 3 appointments be missed without reasonable notice, I will incur a missed appointment fee. *

I have read and accept the financial policy.

Signature

Clear Signature

Date / Time

Driver's License (State/Number) *

Social Security Number

Form of Payment

Message

Online Forms

New Client Form

We proudly serve the pets of Ada, OH, Lima, OH, and beyond.

Our Locations

Our Ada Location

Metz Petz Veterinary Clinic Ada

Our Shawnee Location

Metz Petz Veterinary Clinic Shawnee

Ready for a visit?

Questions? Get in touch.