To book an appointment, call us at 315-673-4858

New Patient Form

Name: Lake Country Veterinary Care
Address: 2527 Cherry Valley Turnpike, Marcellus, NY, 13108, United States
Telephone: 315-673-4858
Price range: $

We are so excited to meet your pet. Please fill out this form prior to your appointment. If you have records from a previous veterinary clinic or breeder, please send those to our clinic as well to help create your pet’s account prior to their arrival.

Get Started

WE LOOK FORWARD TO MEETING YOU!

Please fill out this form to the best of your ability prior to your appointment. If you have any questions or concerns prior to your appointment please contact our office at 315-673-4858 or via email at [email protected]. We are looking forward to your visit!

Client Information

Name *

First

Last

Email *

Phone *

Date of your Scheduled Exam

Pet Information

Pet's Name *

At this time Lake Country is operating curbside. As a result, we will have you wait outside in your vehicle while your patient is taken inside the building for examination. Depending on the weather, the doctor will either come outside to discuss his/her findings or they will call you from inside the building to discuss. Please provide the number you wish us to use on the day of your appointment. Provide us with better history with your patient and give us more time during the appointment to physically examine your pet.

Species (Canine, Feline, or Other) *

Breed *

Sex *

Male
Neutered Male
Female
Spayed Female

Age/Date of Birth *

Has your pet been previously seen at a veterinary office? *

If yes, please list the name(s) of the veterinary clinic that your pet has previously been seen. Do we have your permission to contact the clinic and request your pet's records? *

Has your pet had any adverse reactions to vaccines or medications? *

If yes, please describe the specific reaction. *

Does your pet have any chronic conditions or previously diagnosed medical problems of which we should be aware? If so, please list:

Is your pet currently on any medications or supplements?

If yes, please list any and all medications and supplements below:

Is your pet current on monthly flea/tick and heartworm prevention? *

If yes, please list the type of preventative that you have been giving your pet and the last day it was given.

Please include any other information about your pet that you would like our clinic to know.

Signature *

Today's Date *

Thank you for completing our New Patient Registration Form, we can't wait to meet your new furry family member. If you have any questions or concerns prior to your scheduled appointment please feel free to call our office at 315-673-4858 or send an email to [email protected]

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Ready to see us?

We proudly bring lifelong wellness to the pets of Skaneateles, Marcellus, Tully, Lafayette, and beyond. Easily request an appointment for your pet using our online system!

Appointment Request Refill

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Address

2527 Cherry Valley Turnpike, Marcellus, NY 13108

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Contact

Phone: 315-673-4858

Email: [email protected]

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Hours

Mon – Fri: 8 AM – 6 PM
Sat & Sun: Closed

online Pharmacy

Save time and order your pet’s medication online!

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Get in Touch

Have a question? Complete our online form, and a member of our team will be in touch with you shortly. If you’re in need of immediate assistance, please call or text us at 315-673-4858.

Name *

First

Last

Email *

Phone

How can we help you? *

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