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New Patient Form

Is this your pet's first time visiting Hope Crossing Animal Hospital? If so, please complete our New Patient Form using one of the methods listed below.

Option 1

Complete Online

Complete and submit the following online form.

Option 2

Print & Complete

Bring the finished form with you to our hospital.

Download Form

Option 3

Complete on Arrival

Fill out the form when you arrive at our hospital.

New Patient Form

Owner Information

Emergency Contact

Patient Information

Primary Veterinarian Information

Please fill this section in if we are not your primary care veterinary hospital. By listing your primary care veterinarian, you are authorizing Hope Crossing Animal Hospital to release patient information to the primary care hospital or veterinarian.
By submitting this form, I hereby authorize Hope Crossing Animal Hospital to render medical care for my pet(s) as deemed necessary by the veterinarian. I understand that no guarantee can be given to the outcome of treatments and take it as my responsibility to comprehend any risks involved. I agree to pay for the cost of all services to which I consent to by written or verbal estimate. I understand that a deposit is required before diagnostics and treatments can be initiated and that payment in full is required prior to discharge of patient from Hope Crossing Animal Hospital .

Welcoming New Patients

Our vets at Hope Crossing Animal Hospital are now accepting new patients! Our talented veterinary team is passionate about caring for the pets of Pittsboro. Contact us today to book your first appointment. 

Contact Us

(919) 542-1975 Contact