9555 Land O’ Lakes Blvd.
Land O’ Lakes, FL 34638

813-996-3800

  • Download on the App Store
  • Get It On Google Play

New Patient Form

Save time during your next appointment! Complete your required new patient form online from any device at any time before your visit.

Get Started

New Patient Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pet before your visit.

Step 1 of 2

Telephone Numbers:

PROFESSIONAL FEES ARE TO BE PAID AT THE TIME SERVICES ARE PERFORMED

In admitting my pet(s) for diagnostics, treatment, or surgery, I authorize the veterinarians of Animal Health Center of Land O’ Lakes, Inc., and their support staff, to administer such treatment and/or perform such diagnostic or surgical procedures as deemed necessary. It is understood that an estimate of charges will be given for services upon request. No guarantee or assurance can be made as to the results that may be obtained. I realize that these charges may exceed a given estimate if complications arise. I understand that I will be contacted prior to treatment, if possible, should complications occur. I agree to pay all cost for any property damage or personal injury caused by my pet during its stay. I agree to pay all charges on the day of pickup of my pet. . If full payment has not been made, I agree to pay all cost of collection including attorney fees. Unpaid balances will accrue interest at 1.5% monthly and 18% per annum.