Please fill out our New Client Form using one of the options below if you are a new client at Gluckstadt 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 Client Form

Client Information

We do not send bills. Please plan to pay for any routine or elective services at the time you receive them. We honor all types of payments including credit cards, personal checks, and travelers' checks
If you plan on writing a check for our services, we will need your driver's license number and date of birth as requested by our check guarantee service. Thank you.