Animal Medical Center of Emmett | New Patient and New Client Form | Veterinarian Emmett ID

New Patient / New Client Form

(208)365-5396

New Patient / New Client Form

(208)365-5396

New Patient/
New Client Form

Owner's Name

Mailing Address:

City

State

Zip

Email *

Home/Cell Phone:

Pet's name

Breed

Age

Gender Female Male

Pet's name

Breed

Age

Gender Female Male

Local Emergency Name

Home Phone

Payment is due at the time services are rendered. All past due accounts will accrue a monthly interest rate of 13% on the unpaid balance. All delinquent accounts 60-90 days past due will be sent to ACS, Inc. for collection.

I have read the information above, understand, and agree to the terms as stated.

Animal Medical Center of Emmett is a mixed-animal veterinary practice serving Emmett, Sweet, Boise, Caldwell, Sand Hollow, Letha, New Plymouth, and the surrounding communities in the Gem County, Idaho area.

Phone: (208)365-5396

Email: amcemmett@gmail.com

2588 Waterwheel Rd, Emmett,
Idaho 83617

Office Hours

Monday - Friday - 7:00am - 6:00pm
Saturday - 8:00am - 12:00pm
Sunday - Closed

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