Grand Central Veterinary Hospital

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125 28th Street North, St. Petersburg, FL 33713

/ (727) 895-8387

  • Home
  • About Us
    • Meet Our Doctors
    • Our Staff
  • Services
    • Surgery
    • Digital Imaging
    • In-House Pharmacy
    • Dental Care
    • Wellness Exams
    • Companion Laser
    • Onsite Diagnostics
  • Pet Parents
    • New Clients
      • New Client Form
    • Current Clients
      • Consent For Treatment Form
      • Surgical Consent Form
      • Dental Consent Form
      • Prescription Refill Request Form
    • Payment Options
    • Appointments
  • Online Pharmacy
  • Emergency
  • Contact

New Client Form

"*" indicates required fields

Please complete your New Client Form prior to your first appointment. We look forward to meeting you soon!

Owner's Name*
Address*
Which number is best to reach you?*
Can you receive text messages?*
Preferred method of communication?*
Add a Co-Owner?*
Name*

Pet Health History

Sex*
Neutered/Spayed?*
Please bring and give any medical records/vaccine records to the receptionists to make copies.

Diet And Environment

Is your pet on any dietary supplements?*
Does your pet consume table food?*
Is your pet primarily indoor or outdoor?*
Are there any other animals in the household?*
Do you have your pet groomed or boarded outside of your home?*
Do you travel outside of Florida with your pet?*

Past History

Has your pet had any prior illnesses, accidents, or surgeries*
Is your pet aggressive or fearful around strangers?*
Is your pet on heartworm, flea/tick preventatives?*
Does your pet have any known allergies to any medications?*
Has your pet ever had a reaction to any vaccines?*

To allow for ample time with all patients and surgical procedures. We request clients be on time for their scheduled appointments and procedures. If you are 15 minutes late to your appointment, you may be asked to reschedule your appointment.

Upon receipt of this request, our receptionist will reach out to you with the first available appointment time that coincides with your preferences. If we are unable to reach you or do not hear back from you within 24 hours, we will be unable to reserve your spot on the schedule.

If you need to cancel an appointment, we ask you give a minimum of a 24-hour notice. This will allow us to better accommodate those individuals seeking immediate care.

We strive to accommodate all emergency situations and unforeseen circumstances; however, please know these situations may be subject to additional fees. We ask that in any emergency, you CALL to advise our staff of your arrival, so that we may prepare accordingly. DO NOT submit an appointment request for an emergency. For your convenience, we offer limited same day appointments for urgent care and sick patients, but they fill up fast, so we recommend calling first thing in the morning.

I hereby authorize the veterinarian to examine, prescribe for, or treat the above described pet. I assume responsibility for all charges incurred in the care of this animal.*
Do we have your permission to share your pet’s image and story on our social media, website, and other forms of related media?*
Will you be using pet insurance?*
I authorize my emergency contact (other than myself) to pursue treatment if I am unavailable. Your emergency contact must be an adult over the age of 18.*
Emergency Contact*
MM slash DD slash YYYY

Get In Touch With Us Today

  • This field is for validation purposes and should be left unchanged.

Office Hours

Mon – Fri: 8am to 6pm
Sat: 8am to 12pm
Sun: Closed

Appointments

We will do our best to accommodate your busy schedule. Request an appointment today!

Request Appointment

Get In Touch

(727) 895-8387

125 28th Street North
St. Petersburg, FL 33713

Grand Central Veterinary Hospital

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