New Clients

Name: Leominster Animal Hospital
Address: 129 New Lancaster Rd, Leominster, MA, 43560, United States
Telephone: 978-534-0936
Price range: $

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

New Client Form

Book Appointment

Welcome New Clients!

Welcome to Leominster Hospital

We love new 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.

New Client Form

Client Information

Date *

Owner's Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

I consent to receive SMS text messages from Leominster Animal Hospital. Msg & data rates may apply. Reply STOP to opt-out. *

Yes
No

Email *

Secondary Contact Name and Phone Number

Whom may we thank for referring you?

Patient Information

Patient's Name *

Species

Feline
Canine
Other

Age *

Breed *

Color *

Social Media Consent

I hereby give Central Animal Hospital permission to take photographs and videos of my pet for the purpose of publishing on the hospitals Facebook, YouTube, Twitter, Instagram and Website for educational and marketing purposes. I hereby release and discharge Central Animal Hosital from any and all claims arising out of the use of such photos and videos. *

I consent
I DO NOT consent

Financial Responsibility

I accept all financial responsibility for services to the above-named pet as well as the other pets listed on my account. I understand that full payment is required at the time of service. I have read and understand the information above.

Signature

Clear Signature

Date *

New Clients

Welcome New Clients!

We love new clients!

New Client Form

Client Information

Patient Information

Social Media Consent

Financial Responsibility

Book an Appointment

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Address

Contact

Hours