Name: Ross Hospital for Animals
Address: 880 West Long Lake Road, Bloomfield Hills, MI, 48302, US
Telephone: 248-642-2050
Price range: $$

Thank you for considering our hospital as your pet’s provider of veterinary services. We are dedicated to maintaining the health of your pet and look forward to many future years together.

Please complete this form as fully as possible prior to your first appointment which will help expedite the registration process and give us valuable insight in providing optimal care for your pet(s). The required sections have a red * asterisk.

Owner's Name
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Mobile Phone*
Email*
Enter Email Confirm Email
Pet Information
Pet's Name*
Species*
or if other species
Breed (if known)*
Color*
Date of Birth or Current Age (if known)*
Microchip Number
Sex*
Please provide a name if referred; we would like to thank them.
List any current medications or supplements
List any allergic reactions your pet has experienced
Please use the following box to give us any other relevant information about your pet
Who can we contact to obtain previous patient records?
Upload files
Drop files here or

Accepted file types: doc, , docx, pdf, jpeg, image, txt, rtf, png, dicom.
Social media is a great way to connect with others. We love showing off our patients and the excellent animal care we provide. Please indicated if you give Ross Hospital for Animals permission to use photos of your pet online; includes but is not limited to our Facebook and Instagram pages.*
- Yes, you may take photographs of my pet and post pictures of my pet on social media
- No, I would prefer if you did not post photos of my pet.

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New Client Registration Form

Owner's Name

Pet Information

Contact Information

After-Hours Emergency Vet Clinics