Lakeside Veterinary Services

(607) 535-2500

220 S Catherine St, Montour Falls, NY 14865

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New Client Form

OWNER'S NAME(Required)
Address(Required)
DO YOU HAVE A SPOUSE, SIGNIFICANT OTHER, OR RELATIVE YOU WOULD LIKE TO ADD TO YOUR CHART?
NAME OF AUTHORIZED PERSON(Required)
IS THIS PERSON AUTHORIZED TO RELEASE RECORDS TO?
HOW DID YOU LEARN OF OUR HOSPITAL?(Required)
BEST WAY TO CONTACT YOU?(Required)
DO YOU HAVE PET INSURANCE?

PET INFORMATION

SEX(Required)
MICROCHIPPED?(Required)
DO YOU HAVE A SECOND PET?
SEX(Required)
MICROCHIPPED?(Required)
DO YOU HAVE A THIRD PET?
SEX(Required)
MICROCHIPPED?(Required)
DO YOU HAVE A FOURTH PET?
SEX(Required)
MICROCHIPPED?(Required)


I UNDERSTAND THAT PICTURES OF MY PET MAY BE TAKEN FOR HIS/HER MEDICAL RECORD. I GIVE PERMISSION FOR THE PHOTOS TO BE USED IN PROMOTIONAL MATERIAL FOR THE HOSPITAL.*(Required)
ALL FEES ARE DUE AT THE TIME SERVICES ARE RENDERED. PLEASE INDICATE CHOICE OF PAYMENT:(Required)
RECORD RELEASE: SOMETIMES BOARDING FACILITIES, GROOMERS, REFER RAL HOSPITALS, ETC. MAY REQUEST RECORDS TO BE FAXED. WE ARE ASKING AT THIS TIME FOR YOUR CONSENT TO DO SO IF REQUESTED.(Required)

Testimonials

Great service and great people. I seriously love taking my animals for appointments here. Not super pricey and they take great care in making sure my... read more

Hailey M.

The staff here is awesome! Martha loves what she does and it shows in the love and care that her and the staff provides to our furry... read more

Penny M.

Always take the best care of my pets and always giving them compliments! Wouldn’t go anywhere... read more

Destinie B.

The Dr's at lakeside took real good care of my kitty. Though I had to put her down, they showed great concern and care for my cat and myself. They... read more

Maryann C.

They take great care of your... read more

Diane L.

They are the best!! It's in another county but I wont take my kids anywhere else!! The whole staff are... read more

Terry T.

Hailey M.

Great service and great people. I seriously love taking my animals for appointments here. Not super pricey and they take great care in making sure my dogs are comfortable. 2 thumbs up!

Penny M.

The staff here is awesome! Martha loves what she does and it shows in the love and care that her and the staff provides to our furry babies!

Destinie B.

Always take the best care of my pets and always giving them compliments! Wouldn’t go anywhere else

Maryann C.

The Dr's at lakeside took real good care of my kitty. Though I had to put her down, they showed great concern and care for my cat and myself. They gave as much time as I needed. Holding her meant so much to me. Thank You so much.

Diane L.

They take great care of your pets.

Terry T.

They are the best!! It's in another county but I wont take my kids anywhere else!! The whole staff are awesome!!

Our Location

Lakeside Veterinary Services

220 S Catherine St
Montour Falls, NY 14865

(607) 535-2500

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