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Online Registration Form

If this is your pet's first time visiting us, please fill out our Online Registration Form using one of the options below. 

Complete Online

Complete and submit the form below.

Complete on Arrival

If you prefer, you can complete the form when you get to our hospital.

Online Registration Form

Please provide us with the following information. 

Client Information

Consent for Examination / Treatment

Please check each box to show you have read and understand the following:
By submitting this form, I certify that I am the owner or authorized agent for the animal described above. I consent to have the veterinarian and staff of NVRH examine and treat my pet. I certify that all of the information I have provided above is true to the best of my knowledge. I am over 18 years of age. I have been given the opportunity to review and ask questions which I may have about the material above. I consent to have copies of my pet's medical record faxed to my referring veterinarian.

Emergency Life Saving Procedures

It is the nature of emergency medicine that situations which cannot be predicted and which require emergency treatment, may arise. In those situations, treatment often must be initiated immediately and without the veterinarian having time to contact the owner. Because of this, we require all owners to state their wishes with regard to CPR and other emergency life-saving procedures before leaving their animals. Please be aware that the cost for basic CPR can range from $300 - $500.

From Happy Pet Owners

  • My puppy thought it was fun to eat a sock so we had to take him here. Everyone was amazingly kind and I could tell they actually care about animals. They brought him to the back immediately for treatment and then afterwards explained to us what they did and what to expect. The doctor was wonderful and she seemed very knowledgeable. She answered any and all of our questions. I’m comforted with knowing this type of care is available if I need their services again in the future.

Contact (570) 208-8877