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Pet Portal|(603) 329-7825

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Pet Portal
(603) 329-7825

Services
Hours & Location
About Us
Contact

Current Client Appointment Form

Complete the form below to request an appointment. Please note this is simply a request and your appointment will be confirmed when you are contacted by a member of our team.

If this is the first time we are seeing your pet, please have your pet's records emailed to us at Hampsteadanimalhospital@gmail.com as soon as possible. We need to receive your pet's records NO LATER than 48 hours prior to your scheduled appointment.

If you are in need of immediate assistance, please contact us directly at (603) 329-7825.

Pet Species:

Pet's Name:*

What day would you like to visit our hospital?*

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

What time of the day do you prefer?*

Morning

Afternoon

Evening

Do you have a doctor preference?*

Dr. Fraysse

Dr. Storey

Dr. Norris

Dr. Hwang

Dr. Senechal

Dr. Spencer

No Preference

What is the reason for your visit?*

New Hampshire law requires Rabies vaccinations for ALL dogs and cats over 12 weeks of age, even pets that are strictly indoors. As a patient of Hampstead Animal Hospital, we require Rabies and canine DHPP/feline FVRCP (distemper vaccine) to be kept up to date in order to continue receiving hospital services. Please be aware that if your pet is not up to date on these core vaccines, your veterinarian will require updating them at your appointment. We will gladly provide a written treatment plan of service fees if you wish; please ask. By signing this form, I state that I am over the age of 18, that I am the owner of this pet or acting as an agent for the owner, and that I assume full financial responsibility for goods/services rendered. We accept Cash, Visa, MasterCard, Discover, American Express, and Care Credit.
~ALL FEES ARE DUE WHEN SERVICES ARE RENDERED~*

I have read and accept

Hampstead Animal Hospital

5 Hazel Drive
Hampstead, NH 03841

phone: (603) 329-7825
email us

Veterinarians serving the Hampstead, NH area, including (but not limited to): Atkinson, Plaistow, Sandown, Windham, Salem, Derry, Danville, and Chester.

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