Returning Client With New Patient Form

Save time during your next appointment! Complete your required form online from any device at any time before your visit.

Returning Client With New Patient Form

Please complete this form as completely and accurately as possible so we can get to know you and your pet before your visit.

(*communication means for alerts, recalls, confirmations & medical health reminders)

Financial Agreement

In signing below, I certify that I have read, understand and comply to agree with the above conditions. I also agree that the information I have provided above is accurate:

Clear Signature

Media Release

Pumpkin Hill Veterinary Clinic is granted permission to use and/or publish my or my pet’s photograph or image (including audio, film, digital image, or other media) for educational purposes on their respective websites or for the promotion of their supported products. I understand that I and my pets are not being compensated in any way for the use of our images and that I/we do not have approval over the final product in which it appears. I hereby release Pumpkin Hill Veterinary Clinic and all persons acting under their permission or authority from any and all claims of liability arising out of the use of our images. This release shall bind our heirs, guardians, assigns, and legal representatives.

PetDesk® Release Statement

Subscriber uses PetDesk® to manage client communications, vaccination reminders, appointment confirmations health alerts, product recalls, clinic alerts and product recommendations. You agree that we may share your name, pet’s name, email address, address, and phone number with only PetDesk to facilitate this process. To learn more about PetDesk or their privacy policies please visit or download their iOS or Android mobile applications.