New Client Information Form

Our COVID-19 Safety Policies

Due to the COVID-19 crisis Dr. Mathis is trying to see most patients outside. Masks and social distancing are required. If this is not possible you need to let her know. By scheduling an appointment you are acknowledging that no one in your household is showing any COVID-19 symptoms and assuming the risks associated with COVID-19. You must inform Dr. Mathis before your appointment if this changes.

  • Client Contact Information

  • Employment Information

  • Veterinarian History

  • Pet/Patient Information

  • Payment in full by check or cash is due after each visit.
  • This field is for validation purposes and should be left unchanged.