Please Note: We will be closing at noon on Wednesday, December 24th and will be closed Thursday, December 25th, and Friday, December 26th, in observance of Christmas!

New Client Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit.

GET STARTED

Callaway County Small Animal Veterinary Clinic

This lets us record our pets and owners into our management software so that we can effectively and efficiently provide the service you deserve!

Name *

First

Last

Spouse

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Primary Phone *

Secondary Phone

Drivers License/SS#: *

Spouses License/ SS#:

Employer

Employer Phone

Spouses Employer

Spouses Employer Phone

Emergency Contact

Emergency Contact Phone

Please fill out the following information about your pet below:

Pet's Name *

Species (Canine, Feline, etc.) *

Breed *

Age/Date of Birth *

Color *

Sex *

Male
Neutered Male
Female
Spayed Female

Do you want to add a second pet?

Payment is expected at the time of service. For your convenience we accept cash, checks, visa, mastercard, discover, and ae. Thank you! *

I understand

Message

New Client Form

Callaway County Small Animal Veterinary Clinic

Please fill out the following information about your pet below:

Book an Appointment

Contact Our Veterinary Clinic

Contact

Address

Hours

Download Our App