Animal Care Center

2845 Niles Ave.
Saint Joseph, MI 49085


New Client Check In

If you would like to make an appointment, you can assist us to expedite your check in by submitting this form.

Thank you for your cooporation in letting us assist you.

New Client

Name (required)
First Name (required)
Last Name (required)
Address (required)
Street Address (required)
City (required)
State / Province (required)
Zip / Postal Code (required)
Daytime Phone (required)
Phone TypePhone Number (required)
Evening Phone (required)
Phone TypePhone Number (required)
E-Mail Address (required) :
Employer (required)

Occupation (required)

Pet's Name (required)

Age: Years, Months

Type of Pet (required) :

Sex: (required)


Are your pets vaccines current?
Do you have pets medical records?
Medical records at another veterinary practice?

Name and phone # of former veterinary practice

May we request a transfer of records?

Check this box if you would like us to call you for your appointment
Reasons or conditions that prompted your visit?

Special requests or conditions?

Please list any additional pets here

Please Read
I understand, by indicating I agree and submitting this registration, that I am responsible for any charges incurred by my pet while in the care of the doctors at Animal Care Center and that charges are due and payable at the time of service. An estimates for charges can be provided, but I realize that charges may exceed a given estimate if complications arise. By admitting my pet(s) for diagnostics, treatment, or surgery, I authorize the veterinarians of Animal Care Center and their support staff, to administer such treatment and/or perform such diagnostic or surgical procedures as deemed necessary.
I have read this statement and - (required)
I Agree
I Disagree

Check the reCAPTCHA to ensure you are not a robot: