New Client Form
Thank you for considering our hospital as your pet’s provider of veterinary services. We are dedicated to maintaining the
health of your pet and look forward to many future years together.
Please complete this form as fully as possible prior to your first appointment which will help expedite the registration
process and give us valuable insight in providing optimal care for your pet(s).
Address Line 2:
State / Province / Region:
ZIP / Postal Code:
Co-Owner's Name & Contact Number
How did you find out about our practice?
Clinic LocationPersonal ReferralInternet Search / WebsiteYellow PagesClinic SignNewspaper / Print MediaOther
If other, please specify:
If Personal Referral, is there someone we can thank for this referral?
Please use this area to give us any other relevant information about yourself or your family:
or if other species:
Breed (if known)
Date of Birth or Age (if known)
Special Identification (tattoo, microchip, etc.)
Previous Veterinary Practice (if any)
Previous Veterinarian (if any)
Date of last vaccines (if known)
What vaccines were given at this time?
Is your pet on any medication or supplements?
If Yes, please list the medication or supplements:
What food does your pet eat?
Does your pet have allergies or drug reactions?
If Yes, please list the allergies and reactions:
Are there any current or past medical conditions of which we should be aware?
If Yes, please comment on the condition(s) and indicate if they are current or past conditions:
Please use the following box to give us any other relevant information about your pet:
I love Durham’s Vet Clinic because they saved my Sweet kitty, Zeus. Not only were they affordable and got Zeus in as quick as possible, Dr. Rob saved his leg and he is as good as new. Hey kept me informed and updated throughout his surgery and recovery.
I highly recommend this Vet to anyone who loves their animals. When my Maltese Shitzu (Dixie) was diagnosed with an enlarged heart and congested heart failure, the staff and doctors went out of their way in helping me with her medication so I could afford them since I'm on a fixed income. These doctors care and are there for you as well. They will answer your concern questions. My family has been using Durham for many years.
Durham Vet has the most caring and compassionate Vets and staff! Our chocolate lab, Belle, struggled with anxiety, especially storm anxiety. They always made sure she was well taken care of when she was boarded, and always thought of her when they received new products that could possibly benefit her. I cannot thank them enough for all the care and love they provided her over the years.
Dr. Rob Durham is the best diagnostician and surgeon. My last case he tackled was a luxating patella in my dog's (Dolly) left knee. My dog is a shelter dog and her history was sketchy.
The luxating patella had been there a while.
But Rob thought he could fix it and he did! It was a very intricate surgery and he said it was one of the worst surgeries he had performed.
Dolly is walking well and at 10 1/2 she is doing good. She may limp when she's overdone it but she's not holding her left paw off the floor anymore when she walks.