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New Client Information Form

Name: Ard-Vista Animal Hospital
Address: 527 S. Stratford, Winston-Salem, NC, 27103, US
Telephone: 336-765-3070

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New Client Submission Form

Name *
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone *
### - ### - ####
Alternate Phone
### - ### - ####
Email *
Pet Name *
Age, Years & Months or Birthdate
Type of Pet (Canine, Feline, Avian, Exotic, Other) *
Breed
Sex *

Male

Neutered male

Female

Spayed female
Are your pet's vaccines current?
Do you have your pet's medical records

Yes

No
Name of former veterinary practice
May we request a transfer of records?

Yes

No
Would you like us to call you to schedule an appointment?

Yes

No
Click to request an appointment!
The Request An Appointment page will open in a new window.

Reasons or conditions that prompted your visit?
Special requests or conditions
Please list any additional pets here
Please Read
I understand, by indicating I agree and submitting this registration,
that I am responsible for any charges incurred by my pet while in
the care of the doctors at Ard-Vista Animal Hospital and that charges
are due and payable at the time of service, unless other arrangements
are made in advance. Any balance that is carried over a period of 30
days will accrue a monthly finance charge of 1.5% or 18% per annum.
Any balance that I leave unpaid will be forwarded to Ard-Vista Animal
Hospital's collection agency, and will incur a 25% collection fee for
which I am liable, in addition to monthly finance charges.

I have read this statement and - *

I agree

I disagree

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Business Information

Location

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Office Hours

Our Regular Schedule

Monday:

7:45 am-6:00 pm

Tuesday:

7:45 am-6:00 pm

Wednesday:

7:45 am-6:00 pm

Thursday:

7:45 am-6:00 pm

Friday:

7:45 am-6:00 pm

Saturday:

8:00 am-12:00 pm

Sunday:

Closed

Newsletter

Featured Articles

Read about interesting topics

June Newsletter: How X-Rays Can Help Detect Early Stages of Dental Diseases

Could X-rays protect your pet oral health? ...

June Newsletter: How Often Should Cats Be Vaccinated?

Do you know how often your cat needs to visit the veterinarian for vaccinations? ...

May Newsletter: How to Keep Your Cat at a Healthy Weight

Do you know how to help you cat maintain the ideal weight? ...

May Newsletter: Pets Have Allergies too!

Wondering why your pet is constantly scratching, biting or licking its skin? ...

April Newsletter: Tips on Keeping Your Cat Calm through the Night

Is your cat disturbing your sleep? Check out help your kitty stay calm. ...

April Newsletter: Signs Your Dog May Have Bloat

Do you know the signs that may mean your dog has bloat? ...

March Newsletter: Care Tips for Your Pocket Pets

Do you follow these pocket pet care guidelines? ...

March Newsletter: First Time Pet Owner? Here's What You Need to Know

Bring a pet home soon? Take a look a few things you should know. ...

Caring for Your Older Pet

Many of the same problems that affect people as they age, such as arthritis and diabetes, can also affect your pet. Making a few changes to the way you care for your furry friend will help you ensure that your pet stays healthy and happy as the years go by. Look for Common Signs of Illness Changes ...

February Newsletter: Weird Things Your Cat Does and What They Mean

Looking for an explanation for your cat's strange behaviors? ...

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Testimonials

Read What Our Clients Say

"I love Ard-Vista,they have taken great care of our pets. They not only provide excellent medical care, it is their compassion and true love of animals that sets them apart. Many thanks!"

Darlene L.
"Great Drs. and staff. I moved my 5 doggies from another vet to Dr. Jenni and am thrilled with the service we receive there. Try them, you will find a home and piece of mind with their care."

Ann H.

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