CARE Pet Therapy New Patient Request

CARE Pet Therapy New Patient Request
Please fill out this form completely. You will be contacted once we receive your form with information about the scheduling an appointment.

Pet Information

Preferred Pharmacy

We may need to prescribe medications that you will need to have filled at a local pharmacy. Please let us know which pharmacy you would prefer to use.



I can receive text messages at the following number:


We enjoy sharing photos and videos of our patients and their families on social media and occasionally on print materials, advertising, and educational material for the hospital. However, we will never do so without your consent.

You understand that Veterinary Medical Center of CNY may take and use photographs and/or videos of you and/or your pet with or without your name and for any lawful purpose, including education, publicity, illustration, advertising, and web content.
If you prefer NOT to have you or your pet photographed or recorded on video, please select one or both of the options below: