2225 Township Rd, Charlotte, NC 28273 US
   704-504-9608

New Patient Form

News patient at Carolina Veterinary Specialists in Charlotte are invited to use one of the below options to complete our New Patient Form before your pet's first appointment. 

OPTION 1
Complete & Submit

Fill out your information below, then submit the form online.

OPTION 2
Print & Complete

Download and fill out the form and bring it with you.

Download Form

OPTION 3
Complete in Person

Complete the form in person when you arrive at our hospital.

New Patient Form

Please complete the following form. 

Owner Information

Patient Information

Payment & Insurance

PAYMENT IN FULL IS EXPECTED AT THE TIME SERVICES ARE RENDERED. Prior to the treatment of your pet we will provide you with an itemized estimate. It is the policy of Carolina Veterinary Specialists to require a deposit on all hospitalized patients and those outpatients having extensive diagnostic or treatment procedures. Please ask our client care team if you have any questions.

Referral Information

Pet Care in Charlotte

Carolina Veterinary Specialists in Charlotte accepts all clients for our 24/7 emergency service. Our specialty services accepts new clients by referral only.

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