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Book Appointment

New Client Form

New to our clinic? Save time at check-in by filling out your new client form online — anytime, anywhere, from any device. It’s quick, easy, and helps us get to know you and your pet before your first visit!

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Name *

First

Last

Email *

Primary Phone *

Secondary Phone

Do you agree to receive text messages from Cross Veterinary Clinic? *

I agree

By checking this box, you consent to receive informational and/or promotional text messages from Cross Veterinary Clinic at the number provided, including messages sent by the autodialer. Consent is not a condition of purchase. Message & data rates may apply. Message frequency varies. Unsubscribe at any time by replying STOP. Reply HELP for help. Privacy Policy.

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Who else is authorized to make decisions about your pet's healthcare? *

First

Last

Phone

How did you find out about our hospital? If you were referred by someone, who should we thank? *

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

Yes
No

What is the microchip number?

Do you have a second pet? *

Yes
No

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

Yes
No

What is the microchip number?

Do you have a third pet? *

Yes
No

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

Yes
No

What is the microchip number?

Do you have a fourth pet? *

Yes
No

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

Yes
No

What is the microchip number?

Do you have a fifth pet? *

Yes
No

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

Yes
No

What is the microchip number?

Payment is due in full at the time that services are performed. If being admitted into the hospital, we cannot begin the care of your Pet until you have confirmed your desire to do so by 1) signing the client consent & estimate form, and 2) leaving an initial deposit of 50% of the upper end of the estimate. This is the only way that we have of knowing for certain that you want us to proceed with the care of your Pet. We accept Cash, Visa, MasterCard, Discover, and CareCredit payments. We neither extend credit, nor bill for services. All open invoices are sent to collections after 45 days unless prior arrangements are made. *

I have read and accept the financial policy.

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Schedule Your Pet’s Visit Today!

Your pet’s health and happiness are our top priorities. Don’t wait to provide them with the quality care they deserve. Contact us at (810) 606-1199 to schedule an appointment or visit our clinic at 5490 Ali Dr, Grand Blanc, MI. At Cross Veterinary Clinic, we’re dedicated to keeping pets healthy and people happy.

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Have a Question?

Please get in touch with us today by completing our online form, and one of our team members will contact you shortly.

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Contact Us

Phone: (810) 606-1199
Email: office@crossvet.com

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Location

5490 Ali Dr.
Grand Blanc MI, 48439

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Hours

Monday – Tuesday: 9:00 AM – 6:00 PM
Wednesday – Friday: 9:00 AM – 5:00 PM
Saturday – Sunday: Closed

Please enable JavaScript in your browser to complete this form.

Name *

First

Last

Email *

Phone

Do you agree to receive text messages from Cross Veterinary Clinic? *

I agree

By checking this box, you consent to receive informational and/or promotional text messages from Cross Veterinary Clinic at the number provided, including messages sent by the autodialer. Consent is not a condition of purchase. Message & data rates may apply. Message frequency varies. Unsubscribe at any time by replying STOP. Reply HELP for help. Privacy Policy.

How can we help you? *

Email

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