New Patient Form

Please complete our New Patient Form using one of the options below if your pet is a new patient at Zeeland Veterinary Service.

Book An Appointment
Option 1

Complete Online

Fill out and submit the online form below before your appointment to help save time.

Option 2

Complete on Arrival

If you prefer, you can complete the form when you arrive for your appointment.

New Patient Form

Owner Information

Emergency Contact

Patient Information

Primary Veterinarian Information

Please fill this section in if we are not your primary care veterinary hospital. By listing your primary care veterinarian, you are authorizing Zeeland Veterinary Service to release patient information to the primary care hospital or veterinarian.
By submitting this form, I hereby authorize Zeeland Veterinary Service to render medical care for my pet(s) as deemed necessary by the veterinarian. I understand that no guarantee can be given to the outcome of treatments and take it as my responsibility to comprehend any risks involved. I agree to pay for the cost of all services to which I consent to by written or verbal estimate. I understand that a deposit is required before diagnostics and treatments can be initiated and that payment in full is required prior to discharge of patient from Zeeland Veterinary Service.

Caring for Pets in Zeeland

Zeeland Veterinary Service is accepting new patients! Our experienced vets are passionate about the health of companion animals. Get in touch today to book your pet's first appointment.

Contact Us

(616) 772-4930