New Client Intake Form

We are so happy you have chosen us to be your preferred Leominster veterinarian!

Welcome Clients!

Welcome to Leominster Hospital

We love our clients!

At Leominster Animal Hospital, you can expect state-of-the-art medical care for your four-legged companions. We believe in nurturing the human-animal bond and creating a harmonious relationship between people and animals. You can expect to be greeted by a courteous receptionist, clean exam rooms, friendly doctors, and caring technicians. We appreciate the role we get to play in your pet’s health care.

If you have any questions or comments about how we can care for your pet, please contact us today at 978-534-0936.

Client Information

Patient Information

Patient Medical History

Records Must Be Sent To Us Prior To The Appointment Day.
If we do not receive the records before the appointment day, we will have to reschedule the appointment.

If you have no records, we will see the pet as if they have not received any vaccines or services before.
Records may be sent to leominsteranimalhospital@yahoo.com or faxed to 978-534-0975.

Social Media Consent

Financial Responsibility

Client Signature