PetDesk (Existing Clients)
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616-527-3320
reception.sternerclinic@gmail.com
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Feline Surgical Release Form
Dental/Surgery Release Form
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Payment Options
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Request Appointment
Home
About
Our Story
Our Team
FAQs
Large Animal Clinic
Services
Pet Annual Wellness & Vaccines
Pet Diagnostic and Therapeutic Services
Pet Surgical Services
Pet Anesthesia
Pet Radiology Services
Pet Dentistry
Pet In-House Laboratory
Pet Permanent identification
Pet Pharmacy
Pet Flea Control Programs
Pet Dietary Counseling
Pet Euthanasia
Resources
Client Resources
Boarding
Grooming
Pet Poison Helpline
Urgent Care & ER
Financial Assistance
Hospice Care
Euthanasia
Online Forms
New Client Form
Surgical Release Form
Feline Surgical Release Form
Dental/Surgery Release Form
Our App
Payment Options
Contact
Request Appointment
New Client Form
Sterner Veterinary Clinic
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New Client Form
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*
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Last
Preferred Contact Method
Email
Phone
Email
*
Primary Phone
*
Secondary Phone
Address
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Address Line 1
Address Line 2
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Who else is authorized to make decisions about your pet's healthcare?
*
First
Last
Phone
How did you find out about our hospital? If you were referred by someone, who should we thank?
*
Pet's Name
*
Species (dog, cat, etc.)
*
Breed
*
Age/Date of Birth
*
Sex
*
Male
Neutered Male
Female
Spayed Female
Does your pet have a microchip identification?
*
Yes
No
What is the microchip number?
Do you have a second pet?
*
Yes
No
Pet's Name
*
Species (dog, cat, etc.)
*
Breed
*
Age/Date of Birth
*
Sex
*
Male
Neutered Male
Female
Spayed Female
Does your pet have a microchip identification?
*
Yes
No
What is the microchip number?
Do you have a third pet?
*
Yes
No
Pet's Name
*
Species (dog, cat, etc.)
*
Breed
*
Age/Date of Birth
*
Sex
*
Male
Neutered Male
Female
Spayed Female
Does your pet have a microchip identification?
*
Yes
No
What is the microchip number?
Do you have a fourth pet?
*
Yes
No
Pet's Name
*
Species (dog, cat, etc.)
*
Breed
*
Age/Date of Birth
*
Sex
*
Male
Neutered Male
Female
Spayed Female
Does your pet have a microchip identification?
*
Yes
No
What is the microchip number?
Do you have a fifth pet?
*
Yes
No
Pet's Name
*
Species (dog, cat, etc.)
*
Breed (copy)
*
Age/Date of Birth
*
Sex
*
Male
Neutered Male
Female
Spayed Female
Does your pet have a microchip identification?
*
Yes
No
What is the microchip number?
I hereby acknowledge and agree that payment is to be made at the time of service, ensuring a seamless and efficient experience.
*
I have read and accept the financial policy.
I hereby provide full consent to Sterner Veterinary Clinic, its appointed representatives, and employees to capture photographs and record videos featuring both myself and/or my pet. Additionally, I grant Sterner Veterinary Clinic the right to copyright, utilize, and publish these materials through print or electronic mediums. I acknowledge and affirm that Sterner Veterinary Clinic may employ these photographs/videos, potentially along with my pet's name, for lawful purposes. These purposes encompass, but are not limited to, activities such as publicity, illustration, advertising, social media engagement, and inclusion on the official website of the clinic.
*
I have read and accept the media release policy.
I hereby grant Sterner Veterinary Clinic, including its representatives and employees, the authorization to share my pet's records with other relevant clinics and facilities as required.
*
I have read and accept the records release policy.
I am aware that Sterner Veterinary Clinic has a policy in place that necessitates a 24-hour advance notice for any alterations to your scheduled appointment. In the event of the initial missed appointment, our team will make a call to verify the health and safety of both you and your pet, along with arranging a new appointment. Subsequent missed appointments and delayed cancellations might lead to a fee of $50.00 or a requirement for upfront payment of examination charges.
*
I have read and accept the no show/late cancellation policy.
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