Online Forms

New Patient Registration Form

New Patient Registration

New Patient Registration Form


Pet Information

Pet History

Name of hospital/clinic your pet has received their most recent veterinary care.
Please enter a valid phone number for contact.
Click or drag a file to this area to upload.

If you are unable to upload your pet's records here, you can also email or fax them to the hospital.

Email: Fax: 203-799-7032

Pictures or .JPEG images are sufficient!

I certify that I am the owner of the above pet and that all information is accurate. I am responsible for payment to Orange Veterinary Hospital for all treatment given to my pet. We accept cash, checks, American Express, MasterCard, Visa, and Discover. For your convenience, we have partnered with Care Credit for all billing services. Please note payment is required at the time of services rendered. To prevent the spread of infectious diseases, all boarders, grooms, and hospitalized pets MUST be current on all core vaccines. A signature below authorizes this level of preventative care and your responsibility for payment of appropriate charges. AS OF MAY 2022, WE HAVE IMPLEMENTED A NO SHOW/NO CALL FEE OF $50- please give us a fair 24 hour advanced notice if you need to cancel or reschedule your pets appointment.