Please Note: Our Holiday Hours

Tuesday, December 24, 2024 – Closing early at 12pm
Wednesday, December 25, 2024 – CLOSED
Thursday, December 26, 2024 – CLOSED
Tuesday, December 31, 2024 – Closing early at 12pm
Wednesday, January 1, 2025 – CLOSED

New Client Form

APPOINTMENT

Please complete this form before your visit.

Name *

First

Last

Driver’s License # *

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Cell Phone *

Employer

Work Phone

Preferred Method of Contact *

Email
Phone
Postal Mail

Spouse/Co-Owner Name

First

Last

Spouse/Co-Owner Phone

How did you learn about our practice? *

Notify in case of emergency *

Cell Phone

Work Phone

Pet Information

Pet's Name *

Species *

Dog
Cat
Other

If other, please specify. *

Breed *

Age/Date of Birth *

Color *

Sex *

Male
Neutered Male
Female
Spayed Female

Diet or brand fed *

How often fed? *

Current medication

Any known allergies or drug sensitivities

Reason for pet’s visit *

Previous veterinarian where we may ask for previous medical records *

Will you allow images of your pet on our website or social media? *

PAYMENT – Read the following carefully and sign below.

PAYMENT IS REQUIRED WHEN SERVICE IS RENDERED. DEPOSIT IS REQUIRED ON ALL HOSPITALIZED ANIMALS. We will gladly prepare a written estimate of service fees if you desire (please ask our doctor or receptionist). We accept cash, major credit cards, and Care Credit. Note: we do not accept checks *

I have read and agree.

I certify that I have ordered, or have been authorized by the owner to order the named services for the above described animal. In any event, I accept full financial responsibility for the payment for services ordered and rendered. *

I have read and agree.

To prevent the spread of infectious diseases, all hospitalized patients must be current on all vaccines (dogs – Rabies, DHPP and Bordetella vaccines; cats – Rabies and FVRCP vaccines) and free from internal and external parasites. The signature below authorizes this level of preventative care and the appropriate charges will be assessed in the discharge invoice. *

I have read and agree.

Signature *

Date *

Name

Veterinary care in Crawfordville and Tallahassee, Florida

We’re bringing a fresh view of veterinary care to the Crawfordville and surrounding areas. We’re here to make sure the pets of the Forgotten Coast and beyond receive the best care possible. We’ll be there when your pet needs us most.

Address

3152 Shadeville Rd
Crawfordville, FL 32327

DIRECTIONS

Contact Info

P: 850-536-6519
E: forgottencoastvet@gmail.com

Hours

Monday – Friday
7:30 am to 5:00 pm

Appointment

Drop us a line!

Send a message using the form below and we’ll get back to you as quickly as possible! Please allow 24-48 hours for a response. We look forward to seeing you soon.

Name *

First

Last

Email *

Phone

How may we help you? *

Website