New Client Registration

Appointment Information

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Client Information

Pet Owner Name (Primary Contact)(Required)







Co-owner Name (Secondary Contact)(Required)







Address















Your privacy is important to us. Your email is used exclusively for communications from our hospital about your pet’s health.

This also serves as your login to access the Petly Patient Portal.

How did you hear about us?(Required)







Patient Information

Have more than one pet? Click “Add Pet” to provide information about your whole four-legged family!


MM slash DD slash YYYY

If mixed breed, what does your pet most resemble?

Please include the name, dose, and frequency of the drug/supplement (e.g. Carprofen 25mg every 12 hours)

Photography Consent

We adore our patients, and love to share photos and stories about the wonderful pets we see every day. May we feature your pet, too?

I hereby grant to Avalon Veterinary Hospital, its representatives and employees, the right to take photographs of me and/or my pet, and to copyright, use and publish the same in print and/or electronically.

I agree that Avalon Veterinary Hospital may use such photographs of me and/or my pet with or without my name and for any lawful purpose, including, for example, such purposes as publicity, illustration, advertising, and Web content.

Authorization:









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What's Next

  • 1

    Call us or schedule an appointment online.

  • 2

    Meet with a doctor for an initial exam.

  • 3

    Put a plan together for your pet.

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