New Client Form

Same-Day Urgent Care Appointments

Since 1959

Free Nutrition Counseling

Same-Day Urgent Care Appointments | Since 1959 | Free Nutrition Counseling

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Hours:

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We, at Bethany Animal Hospital, thank you for the opportunity to care for your pet. Please fill out your New Client Form before your first visit if possible.


Click here for a printable copy or scroll below for an electronic form.


Call today to schedule an appointment.


Check out our Patient Center tab for more helpful information to prepare for your visit!

New Client Form

New Client Form

PRIMARY OWNER INFORMATION

CO-OWNER INFORMATION

*please indicate anyone else you would like to be able to make medical decisions regarding your pet. 

HOW DID YOU HEAR ABOUT US?

If you were referred by a current client, please tell us who we may thank!

ADDITIONAL INFORMATION

PET INFORMATION

Payment Options:

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Fear-Free Professionals

Call us today.

(815) 239-6938

(815) 239-6938

Learn More About

Bethany Animal Hospital

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I'm very particular about my vet being a cat-friendly environment. They were overly accommodating to cats! The doctor was sweet and gentle with my Merlin and the office was spotless. They even sprayed his carrier with the hormones to help his ride home be less stressful and it really worked. Only been here once now but I was extremely impressed and will definitely not hesitate going back with my felines!

- Ashley F. via Facebook