New Client Form

Save time during your next appointment. Complete your new client form online from any device at any time before your visit.

New Client Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pets before your visit.
Please provide proof/records of vaccinations and any pertinent medical history

I confirm I am the legal owner and I hereby authorize Dr. Kim and the staff of Ridgefield Park Animal Hospital to examine, prescribe for, and/or treat the above described pet. I assume responsibility for all charges incurred in the care of this animal. I also understand that charges will be paid at the time of release and that a deposit will be required for surgical treatment. It is also agreed that if I do not pay this account as agreed that past due accounts are subject to all reasonable collection costs, including collection agency and/or attorney’s fees and any service charges for account over 60 days old equal to 1.50% per month which is an APR of 18%.

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