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New Patient Form

We aks all our clients to fill out our New Patient Form before your appointment if your pet is a new patient with us at Steinway Court Veterinarian.

New Patient Form

Owner Information

Emergency Contact

Patient Information

Primary Veterinarian Information

Please fill this section in if we are not your primary care veterinary hospital. By listing your primary care veterinarian, you are authorizing Steinway Court Veterinarian to release patient information to the primary care hospital or veterinarian.
By submitting this form, I hereby authorize Steinway Court Veterinarian to render medical care for my pet(s) as deemed necessary by the veterinarian. I understand that no guarantee can be given to the outcome of treatments and take it as my responsibility to comprehend any risks involved. I agree to pay for the cost of all services to which I consent to by written or verbal estimate. I understand that a deposit is required before diagnostics and treatments can be initiated and that payment in full is required prior to discharge of patient from Steinway Court Veterinarian.

New Patients Welcome

At Steinway Court Veterinarian, we are always accepting new patients. Our vets are dedicated to keeping pets healthy and happy in our Astoria clinic. Contact us today to book your first appointment.

Contact Us  Book Online

(718) 728-2822