(859) 371-6501
florencevetky@gmail.com


(859) 371-6501

florencevetky@gmail.com

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small white and brown dog lying on ground.

New Client Form

Thank you for choosing us for your pet’s veterinary care. We look forward to meeting you both soon.

Get Started

New Client Form

We are excited to meet you and your furry companion. To help us provide the best care possible, please fill out the New Client Form before your visit. This ensures we have all the necessary details to create a personalized care plan for your pet.

Name *

First

Last

Email *

Primary Phone *

Secondary Phone

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? *

What is the microchip number?

Do you have a second pet? *

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? *

What is the microchip number?

Do you have a third pet? *

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? *

What is the microchip number?

Do you have a fourth pet? *

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? *

What is the microchip number?

Do you have a fifth pet? *

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? *

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.

Website

Bengal cat with green eyes lounging on a patterned red couch

French Bulldog wearing a shark-print bandana sitting on a metal exam table

Calico cat closing its eyes while receiving chin scratches from a person

Two young kittens sitting inside a wicker basket, one gray and white and one solid gray.

Smiling woman hugging a large fluffy white dog standing on hind legs outdoors

Small Siamese kitten with blue eyes being gently held in human hands

Convenient, Affordable Care

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Your pet deserves the best care, and we’re here to provide it. Whether you’re looking for routine check-ups or specialized treatments, Florence Veterinary Hospital is your trusted partner in pet health.

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Have a Question?

Please complete our online form and a member of our team will get back to you as quickly as possible.

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Location

7801 US Highway 42
Florence, KY 41042

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Contact Information

Phone: (859) 371-6501
Fax: (859) 371-8662
Email: florencevetky@gmail.com

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Hours

Monday – Thursday: 8:00 AM – 6:00 PM
Friday: 8:00 AM – 5:00 PM
Saturday: 8:00 AM – Noon
Sunday: Closed

Name *

First

Last

Email *

Phone

How can we help you? *

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