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Register Your Pet

Please fill out this form in its entirety and sign the bottom to consent to medical treatment of your pet. Payment is ALWAYS due at time of service and a 75% deposit of the HIGH END of the treatment estimate on admitted patients is required at time of admittance. We do not bill or offer payment plans. Please ask us about applying for Care Credit or Scratchpay.

Owner Information

Pet Information

Veterinarian Information

Insurance Information

By clicking Submit Client Registration, I hereby authorize the staff of Newtown Veterinary Specialists to render any treatment that is deemed necessary to my pet(s) health while in custody of the hospital. Should unexpected and/or life-saving emergency care be required, the staff will make every attempt to contact me or my designated representative before proceeding with treatment. If they are unable to contact me, Newtown Veterinary Specialists has permission to provide such care. I understand that I am financially responsible for all procedures and treatments, and should my pet be admitted to the hospital, I will pay 75% of the high estimate outlined in the Estimate of Charges and provided to me by the veterinarian(s) treating my pet.