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Client Forms

Pleasant View and Juniata Veterinary Clinics offer our patient forms online
so you can compete them in the convenience of your own home without a leash
or carrier in your hand.

Our New Client Welcome Form allows us to record you and your pet's
information in our management software so we can effectively and
efficiently provide the service you deserve!

New Client Welcome Form

Thank you for giving us the opportunity to care for your four-legged family member(s). To ensure that your pet(s) receive the best possible care, please take the time to fill out this form. Thank you and welcome to the Pleasant View/Juniata Veterinary Clinic family!


PET # 1

PET # 2

PET # 3


•To allow for ample time for all patients and surgical procedures, Pleasant View/Juniata Veterinary Clinic operates primarily by appointment. We are also available to see emergencies during normal business hours; however, these services may be subject to a higher fee schedule. As such, we request all our clients to be on time for scheduled appointments and procedures.

•For your protection, and that of others, pets should be properly restrained by a leash or carrier upon arrival.

•If you must cancel an appointment, we ask for 24-hour notice. For surgical appointments, we ask for 48-hour cancellation notice.

•Pleasant View/Juniata Veterinary Clinic would be more than happy to fill your prescriptions or have your food orders ready for pick-up. Please allow 24-hour notice and we will have your order ready when you arrive.

•I hereby authorize the veterinarian to examine, prescribe for, or treat the above described pet(s). I assume responsibility for all charges incurred in the care of this animal.

•I understand that payment is ALWAYS DUE IN FULL at the time of service. I recognize that financial concerns should be discussed PRIOR to exam and treatment. We accept cash, debit, credit cards, or checks. We also offer Care Credit financing to help make the highest quality care accessible to all our patients.

•We love social media! Do we have your permission to share your pet’s image and story on our social media, website, and other forms of related media? Your name and personal information will never be shared.