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New Patient Form

Is this your first time taking your cat or dog to see us at The Beacon Veterinary Associates? If so, please complete our New Patient Form using any of the following methods. 

Request Appointment

Option 1

Complete Online

Fill out and submit the following online form.

Option 2

Complete on Arrival

 Fill out the form when you arrive at our hospital.

New Patient Form

Owner Information

Emergency Contact

Patient Information

Primary Veterinarian Information

Please fill this section in if we are not your primary care veterinary hospital. By listing your primary care veterinarian, you are authorizing The Beacon Veterinary Associates to release patient information to the primary care hospital or veterinarian.
By submitting this form, I hereby authorize The Beacon Veterinary Associates to render medical care for my pet(s) as deemed necessary by the veterinarian. I understand that no guarantee can be given to the outcome of treatments and take it as my responsibility to comprehend any risks involved. I agree to pay for the cost of all services to which I consent to by written or verbal estimate. I understand that a deposit is required before diagnostics and treatments can be initiated and that payment in full is required prior to discharge of patient from The Beacon Veterinary Associates.

Welcoming New Patients, Beacon Vet

Now Welcoming New Patients

Our vets at The Beacon Veterinary Associates are now accepting new patients! Our experienced team of veterinary professionals are passionate about giving the cats and dogs of Beacon the health care they need. Contact us today to schedule your pet's first appointment.

Contact Us

(845) 202-7129 Contact