NEW CLIENTS

Welcome to Lifetime Veterinary Center!



Location

Abacoa Plaza
5500 Military Trail #40
Jupiter, FL 33458



Contact Us

Phone: 561-799-7717
Email: info@lifetimevet.com

}

Hours

Mon-Fri: 8:00am-6:00pm
Sat: 8:00am-2:00pm
Sun: Closed

New clients get a free exam!

A special “thank you” for trusting our team with your pet’s care.

Complete your new client form online!

Please complete this form as fully as possible prior to your first appointment, which will help expedite the registration process and give us valuable insight in providing optimal care for your pet(s).

Client Information
Name *
First
Last
Address *
Address Line 1
Address Line 2
City
State
Zip Code
Home Phone
Cell Phone
Work Phone
Place of Employment
How Long
DL #
State of Issuance
Email *
Animal Information
Animal Name *
Species (dog, cat, etc.) *
Breed *
Sex *
Male
Neutered Male
Female
Spayed Female
Colors
Age/Date of Birth
How did you hear about us?
Google
Yelp
Facebook
Instagram
Twitter
Community Event
Signs
Internet Search
Other
Referral (please tell us who to thank below)
If Other, please explain:
Name of Person that referred you
Phone
Address
Address Line 1
City
State
Zip Code
We love to brag about our patients and put them on our social media and/or website. I give permission for Lifetime Veterinary Center to use my pets photo or video. *
I Accept
I Decline
You will be advised of estimated cost and anticipated procedures. Please feel free to discuss the proposed treatment and its cost with the veterinarian. A minimum deposit of the lower end of the estimate is required for all patients that are being hospitalized. *
I have read and understand.
STATEMENT OF OWNERSHIP AND CONSENT: I am the owner of the above described animal, or have authorization of its owner to consent to its treatment. I hereby authorize the diagnostic, therapeutic, anesthetic, and surgical procedures necessary. I accept financial responsibility for these services, I have read the above consent and understand why the above procedure may be necessary. I have also been told of the possible complications and alternatives to the list procedures. *
I have read and accept the financial policy.
Printed name of person signing form *
Signature *
Date *
Phone

We proudly serve the pets of Jupiter and Palm Beach Gardens, FL.

Our veterinarians are highly trained in the treatment of health conditions pertaining to cats and dogs. We're a full-service hospital, with amenities designed to help you and your pet feel relaxed and at home in the company of our welcoming staff.