New Client Form

(Must be at Least 18 Years Old)

  • Date Format: MM slash DD slash YYYY
  • Pet Information

**If your pet has been seen by another Vets office, we will need all records Faxed to us preferably prior to visit. If we do not have your records at the time of your arrival, your visit time may be delayed. ** Wilkes Veterinary Fax Number: 336-667-5858