Our goal is to make your visit to our Gainesville veterinary clinic as relaxed and easy as possible. Please fill out our New Patient Form using one of the options below if your pet is a new patient at Browns Bridge Animal Hospital.

Option 1

Complete Online

Complete and submit the online form below.

Option 2

Print & Complete

Bring the completed form with you to our hospital.

Download Form - English

Download Form - Spanish

Option 3

Complete on Arrival

If you prefer, fill out the form when you get to our hospital.

New Patient Form

Owner Information

Owner First Name *

Owner Last Name *

Secondary Owner / Authorized Agent Name

Address *

City *

State *

Zip Code *

Email *

Primary Phone *

Mobile Phone

Work Phone

Employer *

Date of Birth *

How did you hear about us? *

Internet

Friend / Family

Community Event

Signage

Printed Publication

Other

Emergency Contact

Primary Emergency Contact Name *

Primary Emergency Contact Phone *

Secondary Emergency Contact Name

Secondary Emergency Contact Phone

Do you authorize your emergency contact(s) to make urgent treatment decisions if you are unreachable? *

Yes

Do you authorize your emergency contact(s) to receive patient information in addition to your primary care veterinarians? *

Yes

Patient Information

Pet Name *

Birth Date / Age *

Species *

Breed *

Color

Vaccination Status *

Gender *

Spayed or Neutered? *

Presenting problem, special needs, concerns *

Payment Policy

Prompt payment for services and products is expected at the time of service. You will receive a treatment plan before any services are performed, which will give you a cost range of the recommended medical treatment plan for your pet. A medical deposit will be required at the time of hospitalization.

Payment is expected when services are rendered. In order to focus on our patients’ needs, customer service and minimizing costs, we do not bill. We accept cash, debit cards, and all major credit cards (Visa, Master Card, and American Express). When unexpected illness strikes a pet, unexpected expense strikes as well. We understand this and are able to take payments through the CareCredit program. You can either apply at our clinic, where we’ll process your application for an immediate decision, or you may apply online.

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Happy Tails from Clients

Dr. Douglas is fantastic. She was so helpful in getting us the best care possible for our cat's renal cancer. The entire staff is very friendly and caring.
- Casey G

New Patient Form

Option 1

Complete Online

Option 2

Print & Complete

Option 3

Complete on Arrival

New Patient Form

Owner Information

Emergency Contact

Patient Information

Payment Policy

New Patients Welcome