New Client Information – Lamoille Valley Veterinary Services

We are pleased to welcome you to our practice! Please take a few minutes to provide us with your information. Whether for general care, emergency, or special services, we look forward to working with you and your family.

New Clients

Your Full Name*
Primary Phone Number*
Is this a cell or home phone?*
- Cell
- Home
Secondary Phone Number
Email Address*
Address*
City and State*
Zip Code*
Is there a spouse or co-owner for your account?
Please provide their name and contact information here.
Tell us about your pets!*
Include name, age, breed, sex and spay/neuter status, and any relevant health information for each pet in the household.
Have your pets been seen by another veterinarian? If so, where?*
We require their medical records in advance so that we can properly care for your pet(s). Please have the records sent to info@LVVSonline.com or bring them in person at least two days prior to your appointment.
Do you have pet insurance?
Is there anything else you'd like us to know?
How did you hear about us?
Type your name to certify that the above information is correct and true to the best of your knowledge.*
Comments
This field is for validation purposes and should be left unchanged.