New Client Form

Please fill out the following form to the best of your ability. If you have any questions, do not hesitate to give us a call at 610-793-2589. Please Note: All * fields are required.

Name *

First

Last

Email *

Primary Phone *

Primary Phone Type *

Mobile
Home
Work

Secondary Phone

Secondary Phone Type

Mobile
Home
Work

Address *

Address Line 1

Address Line 2

City

State

Zip Code

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? *

How would you prefer to receive any reminders for appointments? *

Text
Email

Pet Information

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Sex *

Male
Neutered Male
Female
Spayed Female

Age/Date of Birth *

Do you have an additional pet? *

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Sex *

Male
Neutered Male
Female
Spayed Female

Age/Date of Birth *

Do you have an additional pet? *

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Sex *

Male
Neutered Male
Female
Spayed Female

Age/Date of Birth *

Previous Veterinarian (if any)

Please upload any relevant documents below:

Click or drag a file to this area to upload.

Payment is due in full at the time that services are performed. If being admitted into the hospital, we cannot begin the care of your pet until you have confirmed your desire to do so by 1) signing the client consent & estimate form and 2) leaving an initial deposit of 50% of the upper end of the estimate. This is the only way we have to know for certain that you want us to proceed with the care of your pet. We accept cash, checks, and all major credit cards. We neither extend credit nor bill for services. All open invoices are sent to collections after 45 days unless prior arrangements are made. *

I have read and accept the financial policy.

Message

Request an Appointment

We proudly serve the pets of West Chester, PA, and beyond. Use our online appointment form to schedule your next visit!

Appointment

Have a question?

Get in touch! Complete the form below, and a member of our team will be in touch with you shortly.
If you’re in need of immediate assistance, please contact us at 610-793-2589.

CONTACT

lenapevet@gmail.com
Phone: 610-793-2589
Fax: 610-793-1179

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Location

1430 Lenape Rd
West Chester, PA 19382

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Hours

Mon, Wed, Fri: 9 AM - 5 PM
Tues, Thurs: 10 AM - 7 PM
Sat, Sun: Closed

Name *

First

Last

Email *

Phone

How can we help you? *

Phone

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