Servicing the Triangle Area:
Raleigh, Durham, Chapel Hill,
Cary, Wake Forest, and Hillsborough NC

New Client/Patient Form

(please submit a separate form for each Patient)

Client Information

Pet Information

Reason for Visit

Medical Information / History

If yes, what?

Behavior Information / Requirements

If yes, please provide details.

We try to be as stress-free as possible for both you and your pets, so if you know something that your pet loves (treats?) or hates (touching the feet, doorbell, etc.) please let us know.

We want to make our visit as stress free for you and your pet as possible. By creating a low-anxiety, positive experience for our patients, we can help decrease the fear, anxiety, and stress of veterinary visits over time. We do not blame pets for being scared of the veterinarian as we often reinforce their fear by doing things that they do not experience in their typical day-to-day-lives (restraining them, touching parts of their body they are not used to, and often performing mildly uncomfortable procedures like blood sampling or vaccination).

We want to work as a team to try and decrease the stress of appointments over time, but we also need the following basic requirements to be able to examine your pet:

-You should be able to open your pet’s mouth and touch your pet's feet and ears.

-Your pet must be able to be held still and touched by a stranger for at least 2 minutes so an examination can be performed.

-If your pet shows signs of aggression - snarling, biting, growling, hair standing up on their backs, then we will take safety measures such as applying a muzzle for the duration of their examination to protect you, our staff, and to prevent your pet from being quarantined due to a bite occuring.

If your pet can not meet the above criterion, they may need behavior medications to decrease their fear, anxiety, and stress to allow examination. Many of our patients receive anti-anxiety pre-medication for their visits and do very well. By decreasing their anxiety we attempt to counter-condition them to accept veterinary visits as they learn it is not as scary as they once thought. We hold ourselves to a high standard and want to provide the best medical care to your pets, but if we can not touch or listen to them, we can not examine them thoroughly.

In some cases, animals can be so scared or painful that they may require full sedation for examination or a procedure. It is not safe to fully sedate animals outside of a hospital setting.

Please be aware that if we are unable to fully examine your pet due to behavior concerns, we still charge the full house call fee. We will make all reasonable and safe efforts to examine your pet. We want this to get better over time and not make the animal more fearful in the long term. We need to work together to minimize fear, anxiety, and stress. We love animals and we want them to love us too!

*Due to the nature of mobile practice we have different resources related to pet restraint and patient care versus traditional hospitals. We are not the right fit for every family or every pet. If we see anything that indicates that our standard of care or staff safety will be compromised we will cancel your appointment.

*Please know that we cannot provide emergency care, hospitalization, full sedation, or surgery.

*Payment is expected at time of service. We accept cash, and all major credit cards.

*If you cancel your appointment within 24 hours of the time, we reserve the right to charge you for the travel fee.

(Your appointment will not be scheduled without this box being answered yes to confirm.)