65 Finlay Road, Orleans, MA, 02653 508.255.1194 Home About Team Fear Free Certified Community Outreach Services Wellness Surgery Dog Boarding Dental Care Laser Therapy Digital Radiography Laboratory Early Detection Emergency Bathing Other Services Resources Contact CLIENT CENTER SHOP ONLINE 508.255.119465 Finlay RoadOrleans, MA, 02653 Home About Team Fear Free Certified Community Outreach Services Wellness Surgery Dog Boarding Dental Care Laser Therapy Digital Radiography Laboratory Early Detection Emergency Bathing Other Services Resources Contact CLIENT CENTER SHOP ONLINE New Client Registration Form Contact InformationOwner's Name(Required) First Last Home PhoneCell PhoneWork PhoneEmail(Required) Residential Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Mailing Address(Required) Same as previous Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Spouse/Co-Owner Name First Last Spouse/Co-Owner PhoneEmergency Contact Name(Required) First Last Emergency Contact Phone(Required)How did you hear about us?(Required) Recommendation/Referral? Website Radio Yellow Pages Sign/Drive By Newspaper Other Referred by?(Required)Other, please explain(Required)Pet #1 InformationPet's Name(Required)Species (Dog/Cat/Other)(Required)Breed(Required)Color(Required)Sex(Required) Female Male Is your Pet... Spayed Neutered Is your Pet Micro-chipped?(Required) Yes No Birth Date (Age)(Required)# if yes(Required)List any known allergies:Add a 2nd Pet?(Required) Yes No Pet #2 InformationPet's Name(Required)Species (Dog/Cat/Other)(Required)Breed(Required)Color(Required)Sex(Required) Female Male Is your Pet...(Required) Spayed Neutered Is your Pet Micro-chipped?(Required) Yes No Birth Date (Age)(Required)# if yes(Required)List any known allergies:ConsentPhoto Release Please check here if you do NOT want your pet’s image used.Occasionally we take pictures of our patients for use on our website or Facebook page. Policy I have read the below statement and understand it fully.It is the policy of the Animal Hospital of Orleans to receive payment as services are rendered. All accounts with a balance over thirty (30) days will be subject to a $5.00 administrative and handling fee. Interest will be charged and added to the balance of your account commencing and to the extent that it remains unpaid, thirty (30) days after the rendering of a monthly billing for said account. Interest will be charged at the rate of one and one-half percent (1.5%) per month, eighteen percent (18%) per annum. A deposit may be required before any extended boarding period or extensive hospital treatment. In the event that it is necessary to institute suit against you for the collection of fees and advances due to us by you, you will pay in addition to any judgment for such fees and advances, all costs and expenses necessitated thereby, including reasonable attorney’s fees for the suit. Furthermore, in the event of any lawsuit which is filed as a result of any provisions for our legal services or otherwise arising out of, in any way, our relationship as attorney and client, the prevailing party shall be entitled to collect all costs and expenses necessitated by such litigation, including reasonable attorney’s fees. In order to protect all pets here, it is required that all pets be current on their vaccinations (rabies, distemper, and kennel cough) before admission to the kennel or hospital. All boarded pets will be checked for fleas prior to admission to the kennel. If your pet is found to have fleas, flea treatment will be administered at owner’s cost. If any emergency arises while your pet is kenneled here, then the veterinarian on duty at the hospital will attend to the situation. We consider an emergency as any life-threatening event that the doctor feels cannot wait for the owner’s return. Your own veterinarian will be allowed to see any problems unless otherwise requested. All financial services involved will be the responsibility of the owner or owner’s agent.Signature(Required)NameThis field is for validation purposes and should be left unchanged. ANIMAL HOSPITAL OF ORLEANS 65 Finlay RoadOrleans, MA 02653 508.255.1194 QUICK LINKS Services Hours Shop Online GET SOCIAL FollowFollowFollow REQUEST AN APPOINTMENT