Online Forms

Welcome Form

Save time at your next appointment! Please complete your required Welcome Form online from any device at any time before your visit.

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Welcome Form

Please complete this form completely and accurately so that we can get to know you and your pet(s) before your visit. If this is an emergency or your pet requires immediate attention, please call us at 770-532-0491 for a faster response.

Client Information

Name *

First

Last

Address *

Address Line 1

City

State

Zip Code

Home phone *

Work phone *

Cell phone

I consent to receive SMS text messages from Gainesville Veterinary Hospital. Msg & data rates may apply. Reply STOP to opt-out. *

Employer *

Employer’s address *

Email address *

Emergency contact name *

Phone *

How did you learn about our practice?

Number of pets (please specify by type)

Pet Information

Pet’s Name (for today’s visit) *

Species

Dog
Cat
Other

Breed *

Color *

Sex

Age *

Neutered/Spayed

At what age? *

What age was pet obtained? *

From *

Friend
Breeder
Pet Shop
Humane Society
Other

Reason for obtaining pet (check all that apply)

Companion
Protection
Breeding
Show

Pet’s diet (brand of food/dry or canned/how often fed)

List your pet’s current medications

Please check any symptoms or problems you’ve noticed with your pet

Appetite Loss
Behavioral Changes
Breathing problems
Coughing
Depression
Diarrhea
Eye disorders
Gagging
Gums bleeding
Limping
Loss of balance
Scooting
Scratching
Shaking head
Sneezing
Thirst
Urination Increase
Vomiting
Weakness
Other

Primary reason for visit (if something other than vaccines, please list current symptoms or concerns)

Authorization *

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 the animal. I also understand that ALL PROFESSIONAL FEES ARE DUE AT THE TIME SERVICES ARE RENDERED

Signature of client responsible for pet(s) *

Clear Signature

Date *

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We proudly serve the pets of Gainesville, Murrayville, Oakwood, Lula, Clermont, and beyond

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Have a Question ?

Get in touch! Complete our online form, and a member of our team will be in touch with you shortly.

Name *

First

Last

Email *

Phone

I consent to receive SMS text messages from Gainesville Veterinary Hospital. Msg & data rates may apply. Reply STOP to opt-out. *

How can we help you? *

Name

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Location

1363 Thompson Bridge Road, Gainesville, GA 30501

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Contact Information

770-532-0491
frontofficegvh@gmail.com

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Hours

Monday-Friday: 8 AM – 6 PM
Saturday: 8 AM – 1 PM
Sunday: Closed