Online Forms

New Patient Consent and Information Form

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

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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 Patient Consent and Information

Owner Name *

First

Last

Email *

Phone *

Preferred Location *

Has there been an address change within the past 6 months *

Yes
No

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

I authorize permission to proceed with a medical examination and treatment for the above patients. I assume full responsibility for all charges 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 accept

Signature

Clear Signature

Date

Comment

Online Forms

New Patient Consent and Information 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.