New Client Form

Home
New Client Form
Request Appointment
Services
Contact
Patient Portal
Our team
PetPress Newsletter
Blog
Pharmacy
Resources
Careers
How to?

Welcome!

We are so excited that you decided to be part of our pack!

Please fill out the form below. We will be in touch to confirm your appoinment in 24-48 business hours- most likely less.

See you soon!

* Indicates required field

Your Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Cell phone Number *

Home phone number *

Email *

Email reminders

HOW DID YOU HEAR ABOUT US? *

Pet name *

Gender *

Female Male

Species *

Dog Cat Rabbit Guinea Pig Rat Other

BIRTH DATE OR APPROXIMATE AGE *

Spayed or neutered *

Yes No Unknown

Breed *

Color *

WHEN WOULD YOU LIKE TO BRING YOUR PET IN TO SEE US? *

Previous veterinarian hospital *

MAY WE REACH OUT TO YOUR PRIOR VET FOR RECORDS? *

Yes No

WHAT TYPE OF APPOINTMENT WOULD YOU LIKE TO MAKE? (EX. A WELLNESS EXAM, VACCINES, A MEDICAL ISSUE) *

Does your pet have any FEAR OR ANXIETY ABOUT COMING TO THE VET? *

Previous Records *

Max file size: 20MB

Do you give permission to use your pet's pictures on our website and social media accounts? *

Yes No

Submit

Contact Information:
Cambridge Street Animal Hospital
156 Cambridge St #1B
Burlington,MA 01803
(339)234-6007
contact@cambridgestah.com

Office Hours:
Monday: 8am-5pm
Tuesday: 8am-5pm
Wednesday: 8am-12pm
Thursday: 8am-5pm
Friday: 8am-5pm

Join the PetPress Community!
Sign up for our monthly newsletter, the PetPress for hospital news, pet care tips and cute pet photos!

* Indicates required field

Email *

I agree to receiving marketing and promotional materials *

Subscribe to Newsletter

Home
New Client Form
Request Appointment
Services
Contact
Patient Portal
Our team
PetPress Newsletter
Blog
Pharmacy
Resources
Careers
How to?

Welcome!We are so excited that you decided to be part of our pack!Please fill out the form below. We will be in touch to confirm your appoinment in 24-48 business hours- most likely less.​See you soon!

Welcome!

We are so excited that you decided to be part of our pack!

Please fill out the form below. We will be in touch to confirm your appoinment in 24-48 business hours- most likely less.

See you soon!