Client Forms

Client Name (Primary Contact)(Required)
Home Address (Primary Contact):(Required)
Date of Birth (Primary Contact):(Required)
Spouse's / Co-owner's Name:
When looking for CFVC updates, which social media platforms do you use?

All fees are due at the time services are rendered.

Our office accepts Visa, Mastercard, Discover, Scratch Pay, Care Credit and Cash Full payment is due at the time of service. Clients with payment concerns are asked to speak to a Client Service Representative prior to appointment.(Required)

All fees are due at the time services are rendered. If you wish to pay by credit, bank, debit, check, and/or financing options, please complete the following:

Click here to learn more about all of our payment options.

In order to provide the best possible communication, we send convenient text messages for all things related to the care of your pet(s).(Required)

Please contact Country Friends at 972-636-9562.

Photo Consent: We love social media! Do we have your permission to share your pet(s)' image and/or story on social media, our website & other forms of related media? Simply check below to authorize this:(Required)
Treatment Consent: I hereby authorize the veterinarian to examine, prescribe for or treat the below described pet(s) to the best of their abilities. I assume responsibility for all charges incurred in the care of this animal. I acknowledge that medical information will not be released to anyone not indicated on this form without my express permission.(Required)
Some of our exam rooms are monitored with audio and video recordings which may be used for training purposes. Your signature below authorizes your consent to these recordings.(Required)
MM slash DD slash YYYY
Pet #1 Species(Required)
Pet #1 Sex:(Required)
Has your pet been spayed or neutered?(Required)
Pet #2 Species
Pet #2 Sex:
Has your pet been spayed or neutered?
Pet #3 Species
Pet #3 Sex:
Has your pet been spayed or neutered?
This field is for validation purposes and should be left unchanged.