Contact Us
  • Address

    3908 Flatiron Loop #102,
    ,
    Wesley Chapel, FL 33544

Contact Us

New Patient Form

Phone # 813.406.4800 ∙ Fax # 813.406.4801 ∙ 3908 Flatiron Loop #102 ∙ Wesley Chapel, FL 33544
Phone # 813.406.4800 ∙ Fax # 727.362.4767 ∙ 13501 Icot Blvd, Suite #106 ∙ Clearwater, FL 33760

(PLEASE NOTE: Due to high operating cost, the following policies have been established.)
FULL PAYMENT IS EXPECTED WHEN THE PATIENT IS RELEASED OR WHEN SERVICES RENDERED

Registration

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Do you have an appointment scheduled?
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Have you ever been here before?
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With same pet?
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(his/hers)
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(his/hers)
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(his/hers)
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ONLY IF PAYING BY CHECK, please provide your social security and drivers license number.

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Pet Health History

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Species
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Gender
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Authorization

I am the owner of the above pet, or am acting as an agent for the owner. I accept full financial responsibility for professional and clinic fees, including the fees for medical, diagnostics and surgical procedures. I understand that this responsibility continues in the event that the patient fails to recover. I also understand that a deposit maybe required prior to hospitalization or procedure.

All charges incurred to my pet are to be paid at the time of release or when services rendered. Additional charges will be incurred if follow-up examination, laboratory testing or extended telephone consultation is required pertinent to ongoing medical care. I have read the above statements, and I am fully aware of my responsibilities.

METHODS OF PAYMENT INCLUDE: CASH, CHECK, MASTERCARD, VISA, AMERICAN EXPRESS, DISCOVER AND CARE CREDIT.
If paying by check, you must provide a valid drivers license and social security card or services will not be rendered.

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    Locations

    Find us on the map

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    Clearwater Office

    Address

    13501 Icot Blvd #106
    Clearwater, FL 33760, USA

    Contact Information (813) 406-4800

    (727) 362-4767

    [email protected]

    Office Hours

    Wesley Chapel Office

    Monday  

    8:00 am - 4:30 pm

    Tuesday  

    8:00 am - 4:30 pm

    Wednesday  

    8:00 am - 4:30 pm

    Thursday  

    8:00 am - 4:30 pm

    Friday  

    8:00 am - 4:30 pm

    Saturday  

    Closed

    Sunday  

    Closed

    Clearwater Office

    Monday  

    8:00 am - 4:30 pm

    Tuesday  

    8:00 am - 4:30 pm

    Wednesday  

    8:00 am - 4:30 pm

    Thursday  

    8:00 am - 4:30 pm

    Friday  

    8:00 am - 4:30 pm

    Saturday  

    Closed

    Sunday  

    Closed

    The Pet Dentist

    (813) 406-4800