Milton Veterinary Hospital PC

622 Route 29
Middle Grove, NY 12850

(518)587-4676

www.miltonveterinary.com

New Client Check In

If you would like to make an appointment, you can assist us to expedite your check in by submitting this form.

Thank you for your cooporation in letting us assist you.

New Client

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Pet's Name (required)

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Are your pets vaccines current?

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Medical records at another veterinary Practice?

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Name of Former Veterinary Practice

May we request a transfer of records?

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HOURS

Mon-Tues	8 am	6 pm
Wed	8 am	5 pm
Thurs	12 pm	5 pm
Fri	8 am	5 pm
Sat	9 am	12 pm
Sun	Closed

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