New Patient Registration Form

New Patient Registration Form

Thank you for giving North Fork Veterinary Clinic the opportunity to care for your pet(s). To ensure the best care possible, please fill out this form completely.

PET HEALTH HISTORY
Please bring and give any medical records/vaccine records to the receptionists to make copies.
DIET AND ENVIRONMENT
PAST HISTORY
FINANCIAL POLICIES

At North Fork Veterinary Clinic we strive to provide timely quality veterinary care for our patients. We can continue to offer such care and maintain a well-equipped properly staffed facility only if we receive prompt payment for our services and products.

Full payment is due when services are rendered or inventory items are dispensed. We accept cash, personal checks, Care Credit, and major credit cards. Writing a check when insufficient funds are available is illegal. A fee of $35 will be due immediately for all returned checks and the privilege of writing a check will be revoked. Post-deposit checks are not accepted.

If you are unable to pay your bill and request a payment plan, we will process a Care Credit application with you. Care Credit is a medical credit company that provides full payment for veterinary care for eligible clients and accepts monthly payments until the balance is paid in full.

Doctors may require a deposit of up to 50% of an estimate upon admission of a pet for non-routine procedures or surgeries and critical medical cases. This will be decided on an individual basis. The remaining balance will be due the day the pet is discharged. Our doctors or technicians will provide you with an estimate of charges for surgeries and medical admissions. You may also request an estimate for routine care such as vaccines, heartworm protection, and intestinal parasite control before services are rendered.

If you are unable to pay for all recommended services and inventory items, the doctor can help you decide which are most important for your pet and which can wait until you are able to provide payment. If you are concerned about your ability to financially care for your pet, we strongly recommend you consider a pet insurance policy.

Click or drag files to this area to upload. You can upload up to 5 files.

Get In Touch

Compassionate care for the animals of Brookville, PA and the surrounding communities.

We provide care for both small and large animals, including mobile visits for our farm animal and equine patients!

Please call for emergencies until 10 pm. There will be a doctor on call, but situations may not guarantee service if there are multiple events at the same time. We will do everything we can to accommodate the situation.

Contact Info

Address

252 Allegheny Boulevard

Brookville, PA 15825

Click here for directions.

Hours

Mon, Wed, Thurs, Fri: 8 am - 5 pm
Tues: 8 am - 7 pm
Sat, Sun: Closed

Call Us to Request an Appointment!

We look forward to seeing you soon! Call us at 814-715-7498 to book an appointment with our team.