Serving the south shore of Massachusetts, Cape Cod, and the Islands

New Patient Form

Welcome to VCS New England

Please tell us a little bit about you to help us get ready for our first appointment.

Choose to either fill out the form below and submit online OR download and print the PDF version, fill it out, and bring to your first appointment.

About You
About Your Pet
Patient Medical Info
Primary Veterinary Care
Pet Insurance

I/We give consent and authorization to the veterinarians and technicians at VCS New England to treat my/our pet. This may include medical examinations, diagnoses, prescriptions, and procedures that they believe are in the best interest of the animal. There is no guarantee or warranty on these services.

I/We agree to pay the VCS New England fees upon completion of each visit. VCS New England accepts cash, credit cards, or Care Credit. (We are unable to offer payment plans.)

I/We give media consent for VCS New England to use photographs or video of our pet on Facebook, web site, or brochures.