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Complete Your Forms in Advance for a Smoother Experience

Stress-Free Visits Start Here

Save time and reduce stress by completing your pet’s forms before your visit. For your convenience, you can now fill out and submit all forms directly through our website by clicking the “Complete Online” buttons below. Alternatively, if you prefer to fill them out by hand, you may download and print the PDF versions to email back to us at email@bocapalmsanimalhospital.com or bring them with you to your appointment. Whether you are coming in for a check-up, surgery, or boarding, streamlining your paperwork ahead of time lets you focus on what matters most—your furry friend!

New Patient Registry Form
Complete Online
Download PDF
Avian Patient History Form
Complete Online
Download PDF
Exotic Reptile History Form
Complete Online
Download PDF
Exotic Mammal History Form
Complete Online
Download PDF
Pre-Employment Screening Form
Complete Online
Download PDF
Volunteer Pre-Screening
Complete Online
Download PDF
Medical
Proxy Form
Complete Online
Download PDF

At Boca Palms Animal Hospital, we want to make your visit as smooth and stress-free as possible. By completing your forms at home, you’ll help us gather important details about you and your pet before you arrive. This allows our team to update records efficiently and focus on what truly matters—providing the highest level of care for your furry family member. Thank you for helping us create a seamless experience for you and your pet!

New Patient Registry Form

Client Information:
Spouse or Significant Other’s Name:
Address Information:
Contact Information:
Pet Information:
Pet Information #2:
Previous Veterinary Clinic(s)
Pet Insurance Carrier
Professional Fees Are To Be Paid At Time Services Are Rendered

HOSPITAL POLICY

Our hospital policy is to treat your pet as if it were our own by providing your pet with the highest quality veterinary care available. All pets entering the hospital for treatment, grooming or boarding must be current on all recommended vaccinations and be free of parasites. Any parasitic treatment will be done at the owner’s expense.

PAYMENT POLICY

All fees must be paid in full at the time services are performed or upon discharge from the hospital. We accept cash, checks, debit card, Discover, AMEX, MasterCard, and Visa for your convenience. We also accept Care Credit. In some cases, a deposit will be required prior to the onset of treatment or surgery. A service charge of 18% APR ($5.00 min.) is applied to any balance over 30 days. Should it become necessary for the Boca Palms Animal Hospital to collect this account through the use of an attorney, you hereby agree to pay all costs of collection, including a reasonable attorney’s fee, court costs and all expenses associated therewith.

PERMISSION TO TREAT

We are happy to provide written estimates prior to the onset of any surgical, treatment or boarding procedures upon the owner’s request. We will also try to contact the owner or duly authorized agent for the owner in the event that additional procedures are recommended while the pet is in our care. I understand that in the event of an emergency, the staff veterinarian will use their best judgement in the treatment of your pet including the use of sedatives or anesthetics. I do hereby release Boca Palms Animal Hospital, its agents, employees or representatives from any and all liability while caring for my pet which may include transporting, medical or emergency treatment. Furthermore, I agree to pay fees for services that are rendered at the time the pet is discharged from the clinic or when service is otherwise terminated. I further understand that veterinary service is provided during the nighttime hours as necessary in the judgement of the veterinarian in charge. Continuous presence of qualified personnel may not be provided at all times.

VACCINATION AUTHORIZATION

Vaccination against disease is a medical procedure and, like all medical procedures, carries some inherent risk. As in any medical procedure or decision, the advantages must be balanced against the risks. As is the case with any medical decision, we base the vaccines your pet needs only after considering your pet’s age, lifestyle, and potential exposure to infectious diseases. In general, vaccine reactions and side effects (such as local pain and swelling) are self-limiting. Allergic reactions are less common, but if untreated can be fatal. Our office uses the safest vaccines available to reduce any risks to your pet however, you must be made aware of these potential risks.

PROOF OF OWNERSHIP

I understand that the Boca Palms Animal Hospital reserves the right to look for the presence of a tattoo or microchip in any animal brought into the clinic. Should either form of identification be found, the Boca Palms Animal Hospital reserves the right to require proof of ownership from the current owner or owner’s agent, or to seek out the rightful owner of said pet.

Avian Patient History Form

Pet Information:
Other Avian or Exotic breeds you have at home:

Exotic Reptile History Form

Pet Information:
Enclosure/vivarium specifications:
Environment:
Diet:
Water:

Exotic Mammal History Form

Pet Information:
Medical History:
Diet:
Water:
Housing:
Handling:
Ferrets Only:

Pre-Employment Screening Form

Thank you for your interest in joining our team. We look forward to learning about you. First, you should know our vision statement is: Nose to Tail, We’ve Got You Covered.

At BPAH the pet’s health is our sole concern. We hire the brightest minds, biggest hearts, and most passionate pet lovers in order to fulfill our vision. We believe that a strong pet parent/veterinarian relationship is at the heart of good animal health care. All of these efforts are designed to ensure one thing – which is that pets and pet parents have a safe, positive, healthy experience with our hospital, no matter what their medical needs may be.

You should also know, our goal is ALSO TO BE A SANCTUARY FOR VETERINARY PROFESSIONALS. While you’re completing this form, please keep in mind our vision, mission, and customer service philosophy. This form is the first step. Good luck! We’re hoping you’re a great fit!

Let’s get started.

Personal Information:
General Questions:
Capabilities:
Skills:
Please rate your skills in the following areas using 1 as very low to 10 as mastered. Please understand we know not all may apply. Thank you.
Boca Palms Animal Hospital (BPAH) is an Equal Opportunity Employer and an EEO/Affirmative Action Employer committed to excellence through diversity. Employment offers are made on the basis of qualifications and without regard to race, sex, religion, national or ethnic origin, disability, age, veteran status, or sexual orientation.

PLEASE READ CAREFULLY AND SIGN THAT YOU UNDERSTAND AND ACCEPT THIS INFORMATION

Volunteer Pre-Screening Form

Personal Information:
General Questions:
Capabilities:
Skills:
Please rate your skills in the following areas using 1 as very low to 10 as mastered. Please understand we know not all may apply. Thank you.
Boca Palms Animal Hospital (BPAH) is an Equal Opportunity Employer and an EEO/Affirmative Action Employer committed to excellence through diversity. Employment offers are made on the basis of qualifications and without regard to race, sex, religion, national or ethnic origin, disability, age, veteran status, or sexual orientation.

PLEASE READ CAREFULLY AND SIGN THAT YOU UNDERSTAND AND ACCEPT THIS INFORMATION

Medical Proxy Form

Owner Information:
Address Info:
Contact Information:
Proxy Information:
Pet Information:

Resuscitation Directive:

Cardio-pulmonary resuscitation (CPR) is a difficult subject for many people, but one that is very important to review. Emergency cases treated at BPAH must have a resuscitation directive. We are requesting that you choose whether or not you want us to perform lifesaving procedures on your pet in the unlikely event that your pet experiences respiratory and/or cardiac arrest. We will be able to initiate our efforts without delay. Once we have initiated CPR, we will inform you to make further decisions. Prior to making this decision, please consider the fact that animals that have been successfully resuscitated are extremely critical and unstable. The likelihood of re-arrest is high. Management of a pet after successful initial resuscitation requires vigilant monitoring for 24 to 48 hours. Once we stabilize your pet, transfer will be arranged to another animal hospital or 24 hour facility.
I have read and understand the CPR options above and in the event my pet experiences respiratory and/or cardiac arrest. I (we) authorize BPAH to act according to my choice above and to begin necessary measures for treatment immediately upon arrival.
We will keep a copy of your credit card and your driver’s license on file in order to process emergency care charges in your absence.