New Patient Form

We request new clients to Yorktown Animal Hospital fill out the new patient form for our records. This form may be completed by filling out the fields below. You can also download and print a PDF version* and bring it with you to your pet’s first appointment.

For the safety of our staff and the benefit of your pet, employees of Yorktown Animal Hospital are unable to perform walk-in services on your pet requiring physical interaction if your pet does NOT have a current Rabies vaccination on file. This includes but is not limited to pedicures, Bordatella vaccinations, and Heartworm and Fecal Exams.

The only exceptions to this rule:

  • Animals too young for Rabies vaccination (under 4 months)
  • Animals that have a documented autoimmune disease or vaccine reaction
  • *Please note: You must have AdobeReader® installed on your computer to view these forms.

    New Patient Form