Mt Pleasant, SC
New Patient Forms
Join Our Team
Oral Health Consultation
Radiography and Cone Beam CT
Anesthesia & Pre-Anesthetic Exams
Anesthetized Oral Exam & Dental Cleaning
Crowns & Restorations
Home Care for Oral Health
Hyperbaric Oxygen Therapy
Meet Our Doctors
For Pet Owners
New Patient Form
Veterinary Anesthesiologist Available Monthly at HVDOS
May 2019 Hyperbaric Oxygen Therapy Available!
February 2019 - Happy Pet Dental Health Month!
New Patient Form:
Additional Phone #'s (Mobile, Fax)
Ok for us to text you?
How did you become aware of our clinic?
Previous client here
Personal Recommendation (Whom may we thank?)
Referring Veterinarian Dr. and Clinic
I give HVDOS permission to use pictures of my pet for social media/marketing:
Date of Birth
Pet Insurance Company
Is your pet microchipped?
Is your pet on any medications? (Please list name, quantity given, and time given)
Does your pet take any supplements? (Please list any fatty acids, oils, CBD, or additions to food)
What does your pet eat? (Please list brand, raw, kibble, or wet)
What does your pet chew on? (Please list any chews, bones, antlers, treats, raw hides, sticks, etc.)
Please list any allergies your pet has:
Has your pet had any coughing, sneezing, vomiting or diarrhea in the past two weeks?
Does your pet allow you to perform any dental homecare? (Please list any brushing, additives, rinses, or sprays and frequency of use)
Type your name to indicate signature
WE DO NOT BILL. ALL FEES ARE DUE AT THE TIME SERVICES ARE RENDERED.
Hospital for Veterinary Dentistry & Oral Surgery
Monday - Friday
- 7:30am to 5pm
Fill Out New Patient Form
Client Check In Form
CPR Consent Form
Refer a Case