501 Nicholas Rd, Greensboro, NC 27409 US
   336-632-0605

New Patient Form

Please complete our New Patient Form using one of the options below if your pet is a new patient at Carolina Veterinary Specialists in Greensboro. 

OPTION 1
Complete Online

Complete and submit the form below.

OPTION 2
Print & Complete

Bring the completed form with you.

Download Form

OPTION 3
Complete on Arrival

If you prefer, you can complete the form when you arrive at our hospital.

New Patient Form

Please provide us with the following information. 

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

Caring for Pets in Greensboro

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

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