Download New Client FormView our FAQsWelcome! We’re very pleased that you have chosen Taylor Crossing Animal Hospital for your pet’s care. Please download the New Client form or complete the online form below so we may ensure accurate record keeping and better serve you. New Client Information Date*Owner's Name* First Last Address* Street Address Address Line 2 City State Zip Email*Used only for vaccination/information reminders through Rapport. Place of Employment*Home Phone*Cell Phone*Work Phone*How did you FIRST learn about us?*Check one box that tells how you FIRST heard of us. Drove by, saw sign/building Human shelter AAHA website referral Referred by friend, relative or organization Yellow Pages Internet search Returning former client Website Magazine Other Who can we thank for referring you?Please specify how you first learned about us.Tell us about your pet(s)...Please bring all previous records to the receptionist to make copies during your visit.Pet 1 Name*Breed*Color*Age/DOB*Sex* Male Female Altered?* Yes No Do you have more than one pet?* Yes No Pet 2 NameBreedColorAge/DOBSex Male Female Altered? Yes No Do you have more than two pets? Yes No Pet 3 NameBreedColorAge/DOBSex Male Female Altered? Yes No Do you have more than three pets? Yes No Pet 4 NameBreedColorAge/DOBSex Male Female Altered? Yes No Do you have more than four pets? Yes No Pet 5 NameBreedColorAge/DOBSex Male Female Altered? Yes No Do you have more than five pets? Yes No Pet 6 NameBreedColorAge/DOBSex Male Female Altered? Yes No Pet HealthIs your pet experiencing problems with any of the following?Select all that apply. Vomiting Diarrhea Sneezing Coughing Ears Eyes Itching Limping Seizures Urinary Heart Behavior Other Please specify.Account AuthorizationThe following people have access to my account and can authorize additional pets, products or changes to be placed on my account.Spouse/Significant Other Name First Last Children or Other Authorized UsersList all children or other individuals authorized to make changes to your account.Please call our office to schedule an appointment or boarding reservation. Let our helpful administrators know you completed the form online. A copy of your driver's license will be made at check-in. CommentsThis field is for validation purposes and should be left unchanged.