New Client Form

Thank you for trusting Animal Hospital of McHenry to care for your pet. So that we may become better acquainted, please complete the following:

    Client Information

    Owner #1
    Last Name:
    First Name:
     
    Owner #2
    Last Name:
    First Name:
     
    Street:
    City:
    Zip:
    County:
    Primary Phone:
    Secondary Phone:
    Owner #2 Phone:
    Email:

    Preferred Communication

    Permission to use (pictures), (history) or (medical info) about your pets in the media? (our website, print materials, social media)

    Previous vet:
    Phone:
    Date of last vet visit:
    Reason for changing vets:
    How did you hear about us?:
    If referred by a friend, who?:


    Patient info:

    Pet #1 Name:
     
     
    Breed:
    Color:
    Date of Birth:
    Sex:
    Spayed/Neutered:
    Microchipped:
    Known medical Conditions:




    Pet #2 Name:
     
     
    Breed:
    Color:
    Date of Birth:
    Sex:
    Spayed/Neutered:
    Microchipped:
    Known medical Conditions:
     
    Reason for requesting 1st visit (routine vxn, illness, injury etc.)


    Payment Policy:

    A non-refundable deposit of $60 is required at the time of scheduling for all new client appointments. This deposit will be deducted from your total charges for your first visit. Deposits may also be required for major/surgical cases, trauma cases and emergency work where hospitalization is required. Full payment is expected upon rendering of our services, deferred payments and payment plans are not offered. We accept and provide information about CARE credit upon request. There is a fee for refunded checks. Outstanding balances are subject to additional fees and may result in account information being sent to a collections agency.

    Check to confirm submission.

    • 123

    • Pet Cartoons
      • Robyn CampisanoRobyn Campisano

        Dr. Schmitt and the staff at Animal Hospital of McHenry are amazing! They provide an outstanding level of care for our furry loved ones!
        I highly recommended them! 5/5 stars!
        ⭐️⭐️⭐️⭐️⭐️

        Read More
      • Marta KenarMarta Kenar

        Dr. Tammy is a gift to animals, especially those that are forgotten. Her dedication and heart to shelter animals, had us at hello!

        Read More
      • Courtney HillCourtney Hill

        My super senior (14 yo) Weimaraner was seen by Dr. Schmitt as a second opinion for neck and face swelling that was not resolving. The original vet we had seen said there was not much to do for her and that she was at her end. Dr. Schmitt took time to check her and explained the options. My Weimaraner continued to get worse and Dr. Schmitt did not give up. Finally, by working together, we got the swelling down. Thank you to the caring staff and Dr. Schmitt for giving me more time with my sweet girl.

        Read More
      • Amy ZaborAmy Zabor

        Just changed to this Vet and everyone was super nice. They did not have good news about my Trudi but I finally got answers. Excited to have people that care about my Doxie’s and know what they are talking about!

        Read More
      • Elena Schuchard-BastearElena Schuchard-Bastear

        Very compassionate and caring staff.

        Read More
      • Alex S.Alex S.

        Dr. Schmitt and her team are so amazing. Every time I bring my dog in it's like visiting family; the love and care they show is unmatched. I took my dog in... Read More

      • Melissa CholewinskiMelissa Cholewinski

        My pup and I love it here! Always a happy greeting, appointments are easy to get in, the staff are the best and so is Dr Schmitt!

        Read More