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New Patient Form

Is your pet a new patient at Altas Palmas Animal Clinic? If so, please complete our New Patient Form using one of the following methods. 

Option 1

Complete Online

Complete and submit the online form below.

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 Altas Palmas Animal Clinic to release patient information to the primary care hospital or veterinarian.
By submitting this form, I hereby authorize Altas Palmas Animal Clinic 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 Altas Palmas Animal Clinic.

Welcoming New Patients

Our vets at Altas Palmas Animal Clinic are now accepting new patients! Our veterinary team is passionate about keeping the cats and dogs of Harlingen happy and healthy. Contact us today to schedule your pet's first appointment.

Contact Us

Book Online (956) 423-3322