New Client

Litchfield Veterinary Hospital

289 Torrington Road
Litchfield, CT 06759

(860)567-1622

litchfieldvet.com

New Client Check In

Litchfield Veterinary Hospital provides exceptional medical and surgical services -  delivered with courtesy and respect!

What to expect

As a new client of our animal hospital in Litchfield you can expect our full attention to your pets needs.  

When you arrive for your appointment, you will be greeted warmly, and we will escort you into an exam room after checking in your pet.  One of our veterinary technicians will start by asking questions about your pet's current condition, medical history, and reason for your visit, gathering information for the doctor.

One of our doctors will then examine your pet, ask you further questions and may recommend diagnostic tests if needed.  Your pet's doctor will then discuss possible diagnosis and a treatment plan as needed.  Our veterinary technician will likely return to provide you with helpful pet care information and answer any questions you may have.  This is a great time to ask questions.  Our veterinary team wants to make sure you are completely comfortable with the information the doctor has provided.  Our receptionists will process your payment and schedule any needed follow-up appointments.

If you would like to make an appointment, you can assist us to expedite your check-in by submitting this form.

Thank you for choosing us, we are excited to meeting you and your pet!

New Client

Name (required)
First Name (required)
Last Name (required)
Spouse/Other Name
First Name
Last Name
Address (required)
Street Address (required)
City (required)
,
State / Province (required)
Zip / Postal Code (required)
Home Phone (required)
Phone TypePhone Number (required)
Work Phone
Phone TypePhone Number
Cell Phone
Phone TypePhone Number
E-Mail Address :
Pet's Name (required)

Species (required)
Canine
Feline
Rabbit
Ferret
Other


Breed: (required)

Sex : (required)
Male
Female
unknown


Neutered/Spayed
Neutered
Spayed


Date of Birth

Color

Are your pets medical records at another veterinary practice?
Yes
No


May we request a transfer of records?
Yes
No


Name of Former Veterinary Practice

Special requests or conditions?

Please list any additional pets here

Please Read
I understand, by indicating I agree and submitting this registration, that I assume all responsibility for all charges incurred by my pet while in the care of the doctors at Litchfield Veterinary Hospital and that charges are due and payable at the time of service and that a deposit may be required for surgical treatment. For your convenience, we accept checks, Visa, MasterCard and Discover. We will gladly prepare a written estimate if desired.
I have read this statement and - (required)
I Agree
I Disagree



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