Are you a new client to our practice?

You can fill out your New Client Registration form securely online by filling in the form below.

All questions with an asterisk after the question require an answer for this form to be submitted properly.

  • 2 Letter state ID with no periods.
  • We accept Cash/Check/Credit Cards/Debit/CareCredit

    Informed Consent: I will assume full responsibility for all charges incurred in the care of this pet. I understand that FULL PAYMENT IS DUE WHEN SERVICES ARE RENDERED and that a DEPOSIT IS REQUIRED FOR ANY HOSPITALIZED OR BOARDED PET. If full payment is not made as required, Plaistow-Kingston Animal Medical Center has my permission to obtain credit information from an authorized agency to aid in collections. 1.5% Monthly Finance charge and $4.00/month billing over 30days.