SALEM VETERINARY HOSPITAL
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    New Client Form

    MM/DD/YYYY
    Only if planning to write a check

    MM/DD/YYYY
    If your pet has never been at the vet, please describe its temperament when introduced to new situations.
    Please upload any vaccine records or history for your pet below:
    Max file size: 20MB

    Forms of Payment Accepted
    ▢ Cash     ▢ Check     ▢ Credit (Visa, MasterCard, American Express, Discover)     ▢ CareCredit
    In the even of default on any payments due, I agree to pay Salem Veterinary Hospital any and all added costs of collection including but not limited to 33.33% attorney fees. Salem Veterinary Hospital charges $35 for returned checks.   For clients with pet insurance, we are happy to provide you with the necessary documentation for you to submit an insurance claim.
    Please print out a copy of this form before clicking "submit", and be sure to bring the form with you to your scheduled appointment.
Submit
HELPFUL INFORMATION

Office Hours

Monday:  8AM – 6PM
Tuesday:  8AM – 6PM
Wednesday:  8AM – 8PM
Thursday:  8AM – 6PM
Friday:  8AM – 5PM
Saturday:  8AM - 12PM
Sunday:  CLOSED

Picture
EMERGENCY INFORMATION
LOCATION
AND DIRECTIONS

Salem Veterinary Hospital
2159 Lynnhaven Parkway, Suite 105B
Virginia Beach, VA 23456
CONNECT
​WITH US!

Phone (757) 427-2222
Fax (757) 467-5699
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  • Home
  • About Us
    • Services >
      • Bathing & Boarding
      • Preventative Medicine
      • Comprehensive Physical Exams
      • Laboratory & Diagnostic Services
      • Dentistry
      • Online Pharmacy
      • Soft-Tissue Surgery
      • Cold Laser Therapy
    • Hospital Tour
    • Meet Our Team
    • Employment >
      • Online Application
  • Pet Parent Portal
    • Online Forms
    • Trusted Websites
    • Our Favorite Pets
    • Payment Options
  • Contact
  • Emergencies
  • Monthly Newsletter