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Print new client form here:

Print New Client Form
File Size:	42 kb
File Type:	pdf

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New Client

* Indicates required field

Name *

First

Last

Spouse or Co-Owner Name *

Email *

Phone Number *

Address *

City *

State *

Zip *

Pet Information

Pet Name *

Species *

Canine Feline Other

Breed and Color *

Gender *

Male Female Female Spayed Male Neutered

Age / Birthday *

Microchip (N/A or Number) *

Medical Information

Known allergies or medical conditions *

Name of current or previous Veterinarian *

May we contact this veterinarian to obtain medical history on your behalf *

Yes No

Additional Comments / Other Pets *

Preferred Appointment Date and Time *

We will do our best to accommodate and then notify you when your appointment is scheduled.

By checking below, you verify that you are the owner/agent of the animal that is listed above. You authorize the veterinarian at Seymour Animal Clinic, PLLC to examine, prescribe and treat the animal listed above. You also certify that you will assume responsibility for all charges the day that services are rendered.

Statement of Ownership Confirmation *

I agree

Submit

Access to Petly health pages, click below:

See your pet on Petly – As your pet's personal health page, Petly is a special place for you and your pet. You're just one click away! – GO TO PETLY

For Purina Orders, click below:

Office Hours:
Monday 7:30a - 5:30p
Tuesday 7:30a - 5:30p
Wednesday 7:30a-1:00p
Thursday 7:30a- 5:30p
Friday 7:30a- 5:30p
Every other Sat 8:00a-12:30p

2412 Old North Rd
Bldg #102
Denton, TX 76209
940-387-6090

Check out Seymour Animal Care Clinic on Yelp

For after hours emergency, depending on your location we refer to Denton and Frisco:

Click for Emergency

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