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Contact Us

NEW – text us at 608-405-6585. Learn More

New Client Form

We like to make sure we have everything correct! Please fill out this form so we can double check your account for accuracy when you arrive. This form will also allow you to upload your medical records.
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New client form

Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit.

Client Information
Name of primary contact(Required)
Name of secondary contact
Can receive text(Required)
Can receive text
Address(Required)
Patient Information
MM slash DD slash YYYY
How did you hear about us?(Required)
Max. file size: 50 MB.
If you can’t do an upload on the website, then have them email all records to office@acesvetmed.com.
Payment is due in full at the time that services are performed. If being admitted into the hospital for advanced imaging, endoscopy or surgery, 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 100% of the low end of the estimate. This is the only way that we have of knowing for certain that you want us to proceed with the care of your pet. We accept credit cards, cash, personal checks up to $500, CareCredit, and Scratch Pay. We neither extend credit nor bill for services.(Required)
Clear Signature
MM slash DD slash YYYY