New Client Form

Important: If this is an emergency or your pet requires immediate attention,
please call us at (573) 859-4503. If you are not sure whether this is an emergency, call us.

PLEASE NOTE: Online appointment requests must be made at least 2 business days in advance of desired appointment time.

Otherwise, fill out the form below

We are honored to have you and your furry friend! If you would like to make an appointment, you can assist us to expedite your check in by submitting this form. Thank you for your cooperation in letting us assist you. Fields marked with an * are required.

Name
Address
Preferred primary phone contact
Secondary Name on Account

Please list your top 3 preferred dates and times for an appointment

Pet #1

Would you like to add another pet?
Select if you wish to add another pet

Pet #2

Would you like to a third pet?

Pet #3

Financial Responsibility

I understand that, by indicating my agreement and submitting this registration, I am responsible for all charges incurred by my pet while in the care of the doctors at Rock Bridge Animal Hospital. Charges are due and payable at the time of service unless other arrangements are made in advance. Any balance carried over a period of 30 days will accrue a monthly finance charge of 1.5% (18% per annum). Any balance left unpaid may be forwarded to Rock Bridge Animal Hospital’s collection agency and will incur a $35 collection fee, in addition to any applicable finance charges, for which I am liable.

Appointment Booking Fee

A $55 booking fee will be collected to hold my appointment spot. This fee is NON-refundable if I cancel my appointment with less than 24 hours’ notice. If the appointment is kept as scheduled, this fee will be applied toward my invoice. Appointments may be canceled by calling (573) 859-4503.

Rabies Vaccination Policy

In accordance with State of Missouri regulations and for the protection of your pet, our staff, and the community, all patients at Rock Bridge Animal Hospital must be current on their rabies vaccination unless medically contraindicated.

Recording Device Disclosure

Rock Bridge Animal Hospital may utilize audio recording devices during appointments to assist in the accurate documentation and transcription of medical records. These recordings are used solely for record-keeping and quality assurance purposes and are handled in accordance with our confidentiality and privacy policies.

I have read the above statements in Financial Responsibility, Booking Fees, Vaccine Policy and Recording devices and:

Fear Free & Low-Stress Handling

Rock Bridge Animal Hospital is a Fear Free®️ Certified hospital. Our methods are based on the principles of Fear Free®️ and low-stress handling. Our entire team undergoes training to provide the most positive experience possible for you and your pet. As such, we recommend alternatives to the use of force with animals exhibiting fearful behaviors.

If your pet experiences significant anxiety, our doctors may recommend medications to help reduce stress, providing a safer and more comfortable visit.

Help us improve your pet’s experience even before you arrive by letting us know if your pet has difficulties with any of the following:

  • Car rides / travel - panting, drooling, vomiting
  • Being in a veterinary hospital
  • Handling of paws, ears, or mouth, or other areas
  • Interaction with other pets or people
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