Prospective Client Application

Excellence in patient care is our top priority at Choice Vets, which begins at the first new patient appointment when you join our family. Each visit is carefully crafted to ensure your pet receives the proper time, attention, and care during his or her evaluation while our team thoroughly answers the questions and concerns that you may have regarding treatment and conditions. Our team understands appointments are not "one size fits all" and individualized care is the surest path to wellness. As a result of our dedication to top-tier care, our current patient capacity is full - but we hope to offer our services to you, our prospective clients, just as soon as the opportunity arises.

Please take the time to complete our Prospective Client Application to be added to our queue. As soon as we are able to offer service to your pet family we'll access your electronically filed application, as a priority candidate, for expedited on-boarding and reach out to schedule your first visit. We're honored to have the prospect of caring for your pet!

Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email
Prior Veterinarian(s)/Practices
List the following details about each pet:
Name:
Species/Breed:
Color:
Sex:
Spay/Neuter/Unaltered:
Age:
Microchip/Tattoo ID:
Vet-visit temperament or comfort level with strangers:
Origin (Adoption, stray, Relocated due to Natural disaster, Out of state transfer adoption, etc):
Date of last Vaccines, if known:
Vaccinations, if known:
Prior/current conditions/allergies:
Current Medications/Supplements:
Current Food/Treats:
Current Concerns:
Date of most recent vet visit & reason:
Add Another Pet?
- Yes
Name:
Species/Breed:
Color:
Sex:
Spay/Neuter/Unaltered:
Age:
Microchip/Tattoo ID:
Vet-visit temperament or comfort level with strangers:
Origin (Adoption, stray, Relocated due to Natural disaster, Out of state transfer adoption, etc):
Date of last Vaccines, if known:
Vaccinations, if known:
Prior/current conditions/allergies:
Current Medications/Supplements:
Current Concerns:
Date of most recent vet visit & reason:
Follow Up Questions
In the near future, do you have any plans to add new members to your pet family?
Did one of our current clients refer you to our practice? If so, please let us know who to thank!
If you were not referred to us, how did you hear about our practice? (Internet, Radio, Drive-by, etc)
Please attach a copy of your pets' medical records, if available. This will help expedite the onboarding process in the future.
Upload your pet's medical records here

Have a Question? Need to book an appointment?

Connect with us and one of our team members will be happy to assist you.

Contact

7728 W. Ridge Rd.
Fairview, PA 16415

Phone: (814) 474-5555
Fax: (814) 474-9900
Email: care@choicevets.com

Hours

Monday: 8:00am – 6:00pm
Tuesday: 8:00am – 6:00pm
Wednesday: 8:00am-6:00pm
Thursday: 8:00am-5:00pm
Friday: 8:00am-5:00pm
Saturday: Closed
Sunday: Closed

Prospective Client Application

List the following details about each pet:

Follow Up Questions

Have a Question? Need to book an appointment?

Connect with us and one of our team members will be happy to assist you.

Contact

Hours