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Online Store
Hours & Contact
Our Services
Wellness Exams
Vaccinations
Veterinary Surgery
Veterinary Dentistry
Pet Boarding
Grooming
Our Team
About Us
Career Opportunities
Reviews
Online Forms
Resources
Online Store
Hours & Contact
Emergency & Urgent Care
Emergency & Urgent Care
Request an Appointment
Treating Your Pet Like Family Since 2004
New Client Form
Thank You For Choosing High Point Veterinary Hospital
If you are scheduled for your first appointment with us, please fill out the form below and we will be in contact with you shortly!
Name
(Required)
First
Last
Phone
(Required)
Email
(Required)
Street Address
(Required)
City
(Required)
State
(Required)
Zip Code
(Required)
Emergency Contact Name
(Required)
Emergency Contact Phone
(Required)
Date
(Required)
MM slash DD slash YYYY
Pet's Name
(Required)
Species
(Required)
Breed
(Required)
Age
(Required)
Previous Veterinarian
Is your pet male or female?
(Required)
Male
Female
Is your pet neutered/spayed?
(Required)
Yes
No
How did you learn about our hospital?
(Required)
Local shelter/rescue
Facebook
Online search
Referral
Drove by
Other
If you were referred by someone let us know who it is so we can make sure to thank them. (Please include first and last name)
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Emergency & Urgent Care
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