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How would you like us to contact you?*
Email or TextEmail onlyText onlyNeither - Call me
How did you first hear about us?
Where else have you heard about Tidewater Veterinary?
Sign / NeighborhoodGoogle / Internet SearchMount Pleasant MagazineOtherReferral
Please describe any medical conditions, allergies, vaccine or medication reactions, immune medicated diseases, and long term medications that relate to your pet:
Upload a photo of this pet - please name the file after pet's name and limit file size to 500kb (file type jpg):
Do you have a second pet?
Do you have a third pet?
Do you have a fourth pet?
What difficulties have you had with veterinary visits in the past?
I give Tidewater Veterinary, LLC permission to post pictures of your pets on social media.
Please list all persons authorized to make treatment decisions for your pets (children must be over 18 years old)
HOSPITAL FINANCIAL POLICY
Full payment is required at the time services are provided. I understand that upon my request the hospital staff will provide an estimate of any current and/or anticipated charges.
By checking this box I am authorizing veterinary care to be provided for the pet(s) provided by me or by agent(s). I am the legal owner/agents of this/these pet(s) and as owner/agent I understand that I am financially responsible for all services provided.