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New Patient Form

If your pet is a new patient at Rice Lake Animal Hospital, please fill out our New Patient Form using one of the options below.

Option 1

Complete Online

Complete and submit the online form below.

Option 2

Print & Complete

Bring the completed form with you to our hospital.

Download Form

Option 3

Complete on Arrival

If you prefer, fill out the form when you get to our hospital.

New Patient Form

Owner Information

Emergency Contact

Patient Information

I hereby authorize Rice Lake Animal Hospital to post my pet(s) image on our social media.
By submitting this form, I hereby authorize Rice Lake Animal Hospital to render medical care for my pet(s) as deemed necessary by the veterinarian. I understand that no guarantee can be given to the outcome of treatments and take it as my responsibility to comprehend any risks involved. I agree to pay for the cost of all services to which I consent to by written or verbal estimate. I understand that a deposit is required before diagnostics and treatments can be initiated and that payment in full is required prior to discharge of patient from Rice Lake Animal Hospital.

We’re Welcoming New Patients!

Rice Lake Animal Hospital is accepting new patients! Our experienced veterinarians are passionate about the health of Bailieboro companion animals. Get in touch today to book your pet’s appointment.

Contact Us

(905) 797-2182 Contact