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New Patient Form

If this is the first time you are bringing your cat or dog to Sears Veterinary Hospital please fill out our New Patient Form using any one of the following methods.

Option 1

Fill & Submit Online

Complete and submit the following online form.

Option 2

Print & Complete

Bring the filled-out form with you to your appointment.

Download Form

Option 3

Complete on Arrival

Complete the form when you arrive at our hospital.

New Patient Form

Owner Information

Emergency Contact

Patient Information

Primary Veterinarian Information

Please fill this section in if we are not your primary care veterinary hospital. By listing your primary care veterinarian, you are authorizing Sears Veterinary Hospital to release patient information to the primary care hospital or veterinarian.
By submitting this form, I hereby authorize Sears Veterinary Hospital to render medical care for my pet(s) as deemed necessary by the veterinarian. I understand that no guarantee can be given to the outcome of treatments and take it as my responsibility to comprehend any risks involved. I agree to pay for the cost of all services to which I consent to by written or verbal estimate. I understand that a deposit is required before diagnostics and treatments can be initiated and that payment in full is required prior to discharge of patient from Sears Veterinary Hospital.

Welcome New Patients

Sears Veterinary Hospital is now welcoming new cat and dog patients! We have a talented veterinary team that is passionate about providing the pets of Lancaster with the best care possible. Contact our office to book your cat or dog's first appointment today.

Contact Us

(661) 948-5911