New Client Form

Welcome to AMC of Garner!

APPOINTMENT

New Client Form

Welcome to AMC of Garner Veterinary Hospital! Thank you for choosing us as partners in the care of your pets. Our doctors and staff look forward to working with you towards a lifetime of health and happiness for your furry family.
Please take a few minutes to fill in the requested information below:

Name *

Spouse / Co-owner

Address

Address Line 1

City

State

Zip Code

Email *

Cell Phone *

Work Phone

Home Phone

Which phone is your primary contact number? *

Cell
Work
Home

Authorized person to make decisions in your absence (other than spouse / co-owner) *

Name

Relationship to authorized person:

Authorized Person Phone Number *

How did you hear about us? *

Google
Yellow Pages
Sign / Drive-By
Social Media
Referral (specify below)
Other (specify below)

Whom may we thank?

Please specify:

Do you give permission to AMC to share medical information concerning your pet with other animal hospitals, boarding facilities and grooming facilities when requested? *

Do you give permission to AMC to use a photograph of your pet on our clinic website or Facebook page and other marketing channels? *

Website

Modern Medicine, Like Family.

Online Pharmacy

Shop online for your pet’s food and medication and have it delivered right to your door!
Click here to shop now.

Hours

Monday-Friday: 7:30am – 6:00pm
Saturday: 8:00am – 12:00pm
Sunday: Closed

Contact Info

Phone: (919) 779-8887 (Call or Text)

Email: reception@amcofgarner.com

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