Please fill out our New Patient Form using one of the options below if your pet is a new patient at Kleinpeter Veterinary Hospital.

Option 1

Complete Online

Complete and submit the online form below.

Option 2

Print & Complete

Bring the completed form with you to our hospital.

Download Form

Option 3

Complete on Arrival

If you prefer, fill out the form when you get to our hospital.

New Patient Form

Owner Information

Owner First Name *

Owner Last Name *

Secondary Owner / Authorized Agent Name

Email *

Primary Phone *

Mobile Phone

Work Phone

Address *

City *

State *

Zip Code *

Employer *

Occupation *

Date of Birth *

How did you hear about us? *

Primary Care Veterinarian

Internet

Friend / Family

Community Event

Signage

Printed Publication

Radio

Other

Emergency Contact

Primary Emergency Contact Name *

Primary Emergency Contact Phone *

Secondary Emergency Contact Name

Secondary Emergency Contact Phone

Do you authorize your emergency contact(s) to make urgent treatment decisions if you are unreachable? *

Yes

Do you authorize your emergency contact(s) to receive patient information in addition to your primary care veterinarians? *

Yes

Patient Information

Pet Name *

Birth Date / Age *

Species *

Breed / Other Species *

Color

Vaccination Status *

Gender *

Spayed or Neutered? *

Presenting problem, special needs, concerns *

Primary Veterinarian Information

Please fill this section in if we are not your primary care veterinary hospital. By listing your primary care veterinarian, you are authorizing Kleinpeter Veterinary Hospital to release patient information to the primary care hospital or veterinarian.

Primary Care Facility

Primary Care Veterinarian(s)

By submitting this form, I hereby authorize Kleinpeter Veterinary Hospital to render medical care for my pet(s) as deemed necessary by the veterinarian. I understand that no guarantee can be given to the outcome of treatments and take it as my responsibility to comprehend any risks involved. I agree to pay for the cost of all services to which I consent to by written or verbal estimate. I understand that a deposit is required before diagnostics and treatments can be initiated and that payment in full is required prior to discharge of patient from Kleinpeter Veterinary Hospital.

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Happy Tails from Clients

I cannot sing the praises of the staff over here enough. My dog became VERY ill and I brought him to another vet that did a bunch of tests, gave him hydration, and essentially just sent me home. Once home, his condition worsened and I was in great fear of losing my best friend of 14 years. I called Kleinpeter Vet Services and explained my situation to which they immediately cleared room for him and told me to bring him in. They were able to stabilize my buddy and were able to get to the bottom of what was going on. He is back home now, and back to his old self. Absolutely owe it to the professionals over here!
- Sean F.

Emergencies

New Patients Welcome

Kleinpeter Veterinary Hospital is accepting new patients! Our experienced vets are passionate about the health of Baton Rouge companion animals. Get in touch today to book your pet's first appointment.