New Client Forms 

If you are new to our clinic, we ask that a new client form be filled out and returned prior to your first appointment. You may either fill out the form on the page directly or you may download the form to print it. Please complete the form below and email it to Tammany1014@gmail.com or drop it off at the front desk.

Download Form

NEW CLIENT FORM

Thank you for giving us the opportunity to care for your animal.
So that we may become better acquainted, please complete the following:

CLIENT INFORMATION

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How did you become aware of our clinic?
VACCINATION HISTORY
Vaccinations:
Our animal is:
How do you use your horse?
All Fees Are Due At Time Services Are Rendered
Please indicate choice of payment
A deposit is required on all hospitalized animals and the balance is due when your animal is released from the hospital. You must be over eighteen years of age to authorize treatment.

I understand and agree that should I default on payment of my account and it is required to pursue collections, all costs of collections, including attorney’s fee, court costs, and collection agency fees that may be up to 50% of the amount owed, will be added to the balance of my account. Interest will accrue on all past due balances at the rate of 10% per annum. I understand that the financial responsibility terms that I am agreeing to on this form apply to the listed animal(s) and also to any other future animals for which I seek Tammany Veterinary Hospital services.

I have read and understand your Financial Policy
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This field is for validation purposes and should be left unchanged.