Palmer Animal Hospital

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Client Registration Form

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Please email PDF forms to: info@palmeranimalhospital.net or fax to: 301-371-0019 or completed the online form below

Client Registration Form
Address *
Address
City
State/Province
Zip/Postal
Primary Phone Number *
Emergency Contact Name
Phone Number

Pet Information

Species
Sex
Has your pet been treated for any illness in the past year?
How did you hear of us
I assume responsibility for all charges incurred in the care of this animal(s). I also understand that these charges are to be paid at the time of service unless prior arrangements have been made. Furthermore I understand that Palmer Animal Hospital does not offer 24-hour supervision (this notice in accordance with Maryland State Law).
Your Full Name

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Our Office

Kelly
Nancy
Dr. and Mrs. Palmer

Dr. Palmer
Nicole
Dr. O'Neill
Brenda


Palmer Animal Hospital

9405 Baltimore National Pike
Myersville, MD 21773
301-371-3333 Phone
301-371-0019 Fax

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Office Hours

Mon, Tues, and Thurs
8:00 am until 8:00 p.m.

Wed and Fri
8:00 am until 5 pm

Saturdays
8:00 am until 12 Noon

Early Drop-off (7:30AM) is available for Surgery and Grooming

Office hours by appointment.

Recent News

Oscar : Our Resident Hospital Cat 2006-2020

January 1, 2021

With COVID protocols in effect, we know that most of our clients have not physically been our office … Learn more >>

Snow Update, Wed, Dec 16, 2020

December 16, 2020

As the snow falls heavily today, we will be closing our office early so that our staff can get home … Learn more >>

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