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Palmer Animal Hospital

Veterinarian Myersville, MD

Client Registration Form

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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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Testimonials

What Our Patients Are Saying

“They have always taken wonderful care of our pets. Especially when there is an emergency. I moved out of the area and never found a vet to compare so I make a longer drive back to Palmers as it is well worth it.”

Darlene Donaldson