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Palisades Veterinary Hospital - NEW CLIENT INFORMATION SHEET

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    Welcome to Palisades Veterinary Hospital. So we may provide you with exceptional service, please share information about you and your pet(s). Our mission is to provide our clients with the very best loving, compassionate veterinary health and wellness care. We offer veterinary care, lodging, and limited grooming for your best friends.

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    • Afghanistan
    • Albania
    • Algeria
    • American Samoa
    • Andorra
    • Angola
    • Anguilla
    • Antigua and Barbuda
    • Argentina
    • Armenia
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    • Austria
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    • Bangladesh
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    • Christmas Island
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    • Kosovo
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    • Kyrgyzstan
    • Laos
    • Latvia
    • Lebanon
    • Lesotho
    • Liberia
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    • Liechtenstein
    • Lithuania
    • Luxembourg
    • Macau
    • Macedonia
    • Madagascar
    • Malawi
    • Malaysia
    • Maldives
    • Mali
    • Malta
    • Marshall Islands
    • Martinique
    • Mauritania
    • Mauritius
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    • Micronesia
    • Moldova
    • Monaco
    • Mongolia
    • Montenegro
    • Montserrat
    • Morocco
    • Mozambique
    • Myanmar
    • Nagorno-Karabakh
    • Namibia
    • Nauru
    • Nepal
    • Netherlands
    • Netherlands Antilles
    • New Caledonia
    • New Zealand
    • Nicaragua
    • Niger
    • Nigeria
    • Niue
    • Norfolk Island
    • Turkish Republic of Northern Cyprus
    • Northern Mariana
    • Norway
    • Oman
    • Pakistan
    • Palau
    • Palestine
    • Panama
    • Papua New Guinea
    • Paraguay
    • Peru
    • Philippines
    • Pitcairn Islands
    • Poland
    • Portugal
    • Puerto Rico
    • Qatar
    • Republic of the Congo
    • Romania
    • Russia
    • Rwanda
    • Saint Barthelemy
    • Saint Helena
    • Saint Kitts and Nevis
    • Saint Lucia
    • Saint Martin
    • Saint Pierre and Miquelon
    • Saint Vincent and the Grenadines
    • Samoa
    • San Marino
    • Sao Tome and Principe
    • Saudi Arabia
    • Senegal
    • Serbia
    • Seychelles
    • Sierra Leone
    • Singapore
    • Slovakia
    • Slovenia
    • Solomon Islands
    • Somalia
    • Somaliland
    • South Africa
    • South Ossetia
    • South Sudan
    • Spain
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    • Svalbard
    • eSwatini
    • Sweden
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    • Syria
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    • Tajikistan
    • Tanzania
    • Thailand
    • Timor-Leste
    • Togo
    • Tokelau
    • Tonga
    • Transnistria Pridnestrovie
    • Trinidad and Tobago
    • Tristan da Cunha
    • Tunisia
    • Turkey
    • Turkmenistan
    • Turks and Caicos Islands
    • Tuvalu
    • Uganda
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    • United Arab Emirates
    • United Kingdom
    • United States
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    • Vanuatu
    • Vatican City
    • Venezuela
    • Vietnam
    • British Virgin Islands
    • Isle of Man
    • US Virgin Islands
    • Wallis and Futuna
    • Western Sahara
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    • Zambia
    • Zimbabwe
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    • Referred by friend whom may we thank?
    • Referred by veterinarian whom may we thank?
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    We will gladly prepare a written estimate if you desire. Please ask the staff or Doctor. To insure proper medical care for your pet(s), and for your convenience, Palisades Veterinary Hospital will enter your pets into our computerized recall system which will automatically mail you a reminder card at the appropriate time for all necessary exams and vaccinations. Please notify us of any address and or phone changes.

    Financial Policy: Palisades Veterinary Hospital requires payment in full for services rendered at the time of service and or discharge from the hospital. I attest that I am the legal owner of the pet(s); I have read and agreed to the above financial policy and I give consent to the Doctors and staff of Palisades Veterinary Hospital to treat my pet. I hereby assume financial responsibly for all services rendered.

    For your convenience we accept the following forms of payment: Visa, MasterCard, American Express, Discover, Care Credit, Cash and Checks with proper ID.

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