If your pet is a new patient at our animal hospital in Charlotte, please fill out our New Patient Form using one of the options below.

New Patient Form

Please provide us with the following information.

Client Information

Owner Name *

Co-Owner / Spouse Name

Address *

City *

State *

Zip Code *

Email Address *

Call 1st Phone Number *

Call 1st Contact *

Secondary Phone Number

Secondary Contact

How did you hear about us? *

Drive by / Signs

Internet Search

Social Media

Referral

Word of Mouth

Other

Note: At your first appointment at our hospital, we may ask to collect your driver's license and social security number for payment collection purposes. We will also require a photo copy of your license.

New Patient Information

Pet's Name *

Type of Animal *

Dog

Cat

Other (specify next box)

Breed *

Color

Date of Birth *

Sex *

Male

Female

Spayed/Neutered *

Yes

Are vaccinations current? *

Where were immunizations last given? *

What date were they given? *

Medical Problems

Drug Hypersensitivities

Current Medications

Reason for First Visit *

IMPORTANT: Payment is required at the time services are performed.

I understand I am financially responsible to Sharon Lakes Animal Hospital for all charges incurred. I further agree in the event of non-payment to bear the cost of collection and/or court and legal fees should this be required.

By submitting this form, I agree to the above.

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Happy Tails

I'm new here and was referred by my neighbor. They took care of my old cat Gizmo the friendly housecat. This place is terrific and I'll never go anywhere else.
- Keith M.

Tips & Advice

How long can you leave a cat home alone?

You may think that your kitty prefers to be left alone, but our feline friends love spending time with their humans. In today's post, you will find tips on leaving your cat alone, including how long you can leave them, and how to help them feel less lonely while you're away.

Ultrasounds for Pets

Today, we share information on why ultrasound is a valuable tool when diagnosing conditions in dogs and cats, what these images can tell your vet, and how to prepare for your dog or cat's ultrasound appointment.