Call: 812-875-8866 Text: 812-875-8866

118 S Commercial Street Worthington, IN 47471

New Client Form

Save time during your next appointment! Complete your required forms online from any device at any time before your visit.

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New Client Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit. If this is an emergency, or if your pet needs urgent care, please call us at 812-875-8866 for a faster response.

New Client Form

Name(Required)
I consent to receive SMS text messages from Royer Veterinary Services. Msg & data rates may apply. Reply STOP to opt-out.(Required)
Address
Preferred Method of Contact(Required)
Spouse/ Co-Owner Name
Pet's Name(Required)
Sex(Required)
Does your pet have a microchip identification?(Required)
I give permission for Royer Veterinary Services to share photographs or case specific information about my pet in all media (including promotion, advertising, sale, publicizing, and general marketing of Royer Veterinary Services).(Required)
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