New Client

Sedgefield Animal Hospital
Since 1976

Where QUALITY and CARING
are more than words.

Contact us today!

(336) 294-1944

petcare@sedgefieldvet.com

Hours:
Monday - Friday - 8:00am to 5:30pm
**Tuesdays we are CLOSED 1:00 - 3:00pm for our staff meeting

Sedgefield Animal Hospital

4740 High Point Road
Greensboro, NC 27407

(336)294-1944

www.sedgefieldvet.com

New Client Check In

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 cooporation in letting us assist you.

New Client

Name & Email (required)

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Address (required)
Street Address (required)

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Daytime Phone (required)
Phone Type	Phone Number (required)

Evening Phone (required)
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E-Mail Address :

Pet's Name (required)

Age: Years, Months

Type of Pet (required) :

Breed:

Sex: (required)

Male
Female

Neutered/Spayed

Neutered
Spayed

Are your pets vaccines current?

Do you have pets medical records?

Medical records at another veterinary Practice?

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Name of Former Veterinary Practice

May we request a transfer of records?

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Sedgefield Animal Hospital

New Client