New Client Form

Welcome to Laurel Road Veterinary Clinic. We’re glad you’re here. This New Client Form helps our team get to know you and your pet before your first visit so we can provide personalized, efficient care from the moment you arrive.

Get Started
veterinarian holding kitten
Happy corgi puppy, person nearby

HELP US PREPARE FOR YOUR PET’S VISIT

Please complete the form with as much detail as possible about:

  • Your contact information
  • Your pet’s age, breed, and medical history
  • Any current concerns, medications, or allergies

The more information you share, the better prepared our veterinarians will be to care for your dog or cat.

Once you submit the form:

  • Our team will review your information
  • We’ll contact you by phone, text, or email to confirm your appointment details or gather any missing information

Submitting this form does not schedule an emergency appointment.

How to Use This Form

  • Complete all required fields marked as mandatory.

  • Double-check your phone number and email so we can contact you.

  • Share brief details about your pet’s health, behavior, or any concerns you’d like to discuss.

  • Click Submit to securely send your information to our team.

Prefer to speak with us instead? You’re welcome to call or text, and our staff will be happy to help you get started as a new client.

    Urgent or Emergency Needs

    If your pet is experiencing an emergency or urgent medical issue during business hours, do not use this form.

    Instead, call or text the clinic right away so we can advise you on the next steps and, if appropriate, prepare for your arrival.

    Gold puppy yawning, eyes closed

    Name(Required)
    Address(Required)
    OK to Text
    Ok to post pictures of your pets on Social Media?(Required)
    Consent for the release of medical records (Please initial all that apply)(Required)
    By initialing here, I authorize Laurel Road Veterinary Clinic (LRVC) to release/disclose my pet’s health and medical records to any veterinary facility, grooming/boarding or rescue facility that may request them.

    Please sign to authorize treatment: I hereby authorize the staff of LRVC to render any treatment that is deemed necessary to my pet(s) health while in the care and/or custody of the clinic. I understand that I will be financially responsible for all services and/or treatment(s). We may provide an estimate of costs which may be subject to change. I understand that payment is due at the time services are rendered and a deposit may be required when pets are admitted to the hospital.

    Clear Signature

    ACKNOWLEDGMENT OF ABILITY TO RECEIVE WRITTEN PRESCRIPTION

    understand the veterinary client’s right to receive a written prescription for medication that can be filled by the pharmacy of my choice or my veterinarian, as provided in s.474.224, Florida Statutes.
    Clear Signature

    Ready to Get Started?

    Become part of the Laurel Road Veterinary Clinic family today. Complete and submit the New Client Form below, and we’ll be in touch to welcome you to our Nokomis, FL, veterinary practice and help you schedule your pet’s first visit.