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New Patient Form

Please fill out our New Patient Form using one of the options below if your pet is a new patient at Southgate Animal Hospital.

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

Patient Information

Payment Policy

Fees are to be paid at the time services are rendered. A written estimate of fees will be provided upon request. A deposit will be required prior to any surgery and/or extensive treatments. We accept Visa, MasterCard, Discover, American Express, Care Credit, and cash. We do not offer billing or payment plans.
**We do not accept checks

By submitting this form, I hereby agree that I have read and understood the above statements. I also authorize Southgate 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.

New Patients Welcome

Southgate Animal Hospital is accepting new patients! Our experienced vets are passionate about the health of Southgate companion animals. Get in touch today to book your pet's first appointment.

Book Online (734) 284-9122