New Patient Information

Welcome. We are happy that you have chosen us to care for your valuable pets.

Client Information:

Your First Name:
Your Last Name:
Address:
City:
State:
Zip:
Home Phone:
Cell Phone:
Work Phone:
Email Address:
  We can email exam report cards and important notices.
Spouse's Name:
Spouse Cell:
Spouse Work:
Preferred Contact Method?:
*Cell Phone Service Provider:
How did you hear about us?
Other (please name):
Are you interested in our Pet Health Plans?


Financial Information

Credit Card:

I have Pet Health Insurance

I do not have Pet Health Insurance (Please tell me about it!)

I hereby authorize the doctors and staff to diagnose, prescribe for, and treat the above described pet. I assume all responsibility for all charges incurred in the care of this animal. I also understand that these charges will be paid at the time services are rendered. In the case of hospitalization, I will be required to leave a substantial deposit. The remaining balance must be paid in full at the time of discharge of the pet. I authorize photos and video to be taken of my pet’s care for training, website, and educational purposes.

Please present a valid drivers license or photo id at the time of check-in.

Pet Information

Pet Name:
Birth date/Approx age:
Type of Pet?
Breed:
Color:
Sex:
Neutered/Spayed:
Indoor/Outdoor:
Is your pet Microchipped?:
Where did you get your pet?
When did you get your pet?
Approx. age when acquired:
Are you 65 or older?
Are you a First Responder?
Past Veterinarian:
Would you like us to contact past vet for medical history?:
Approx. date of last veterinary examination:
Last vaccinations (date):
How many, and what type of pets do you own?
Dog(s):
Cat(s):
Bird(s):
Other (specify):
Kindly list any previous medical or surgical problems and current medications:
Is your pet current taking Heartworm Preventative?
Name of Meds.:
What flea and tick protection are you currently using on your pet(s)?
What brand of food is you pet currently eating?
How much do you feed daily?
Does your pet get any table scraps and how often?
Describe your pet’s temperament (personality)
Reason for visit:


The individuals listed below are authorized representatives to act on your behalf in cases dealing with the pet listed above. They are authorized to obtain medical information regarding your pet, to admit and pick up your pet from our facility, and give verbal and/or written authorization to perform medical services and procedures.
The individuals listed below are required to show photo identification when acting as your authorized representative.

  Name Relationship Contact Number
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I am not a robot.

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    • Andrea CarterAndrea Carter

      Awesome clinic. Great vets!

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    • Betty P.Betty P.

      We LOVE Live Oak and Dr. Lloyd! I took our Welsh Terrier, Noki, to Live Oak a couple of years ago when she was having skin issues when we were at Atlantic... Read More

    • Rusty McArthurRusty McArthur

      Actually , FIVE stars just are not enough. Totally GREAT DR. and Staff !!
      The McArthurs, Buffy and Gunner Thanks for all !!!

      Read More
    • Leighann F. CordellLeighann F. Cordell

      I went there today to take my dog, they are very nice and caring. They were great with my dog who is very hard to handle since she bounces off the wall. We will be going back from now on.

      Read More
    • Wendy Edwards DoublesWendy Edwards Doubles

      The expertise...dedication...warmth and so much more.
      EXACTLY, what we need when we bring our 4-legged family for care

      Read More
    • Marcie DunnMarcie Dunn

      After moving to the area our pooch Marley sustained and injury. We found Live Oak on the internet and they had a same day appointment available and we immediately took him up there. Now two years later we still use them on a regular basis for all his veterinary care and boarding. The staff is very friendly and welcoming. Marley starts and ends his visit excited with his tail wagging. So glad we found this place.

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    • Roxy BeckerRoxy Becker

      Dr. Loyd was very caring and concerned about my pup Hines. We were able to schedule an appointment last minute as we were on vacation and needed some immediate care. They even called a few days later to check on his condition. I would definitely return again and would recommend this vet to anyone.

      Read More