lfvetservices@gmail.com
(618) 418-5007
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New Client Form – LF Veterinary Services

Welcome to LF Veterinary Services! We’re honored that you’ve chosen us to care for your pet. To make your first visit as smooth as possible, please take a few moments to complete our New Client Form before your appointment.

This form helps us get to know you and your pet better, ensuring we provide the highest level of care from day one!

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New Client Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit.

Name *

First

Last

Email *

Primary Phone *

Secondary Phone

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Who else is authorized to make decisions about your pet's healthcare? *

First

Last

Phone

How did you find out about our hospital? If you were referred by someone, who should we thank? *

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

What is the microchip number?

Do you have a second pet? *

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

What is the microchip number?

Do you have a third pet? *

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

What is the microchip number?

Do you have a fourth pet? *

Pet's Name *

Species (dog, cat, etc.) *

How your Age/Date

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

What is the microchip number?

Do you have a fifth pet? *

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

What is the microchip number?

Payment is due in full at the time that services are performed. If being admitted into the hospital, we cannot begin the care of your Pet until you have confirmed your desire to do so by 1) signing the client consent & estimate form, and 2) leaving an initial deposit of 50% of the upper end of the estimate. This is the only way that we have of knowing for certain that you want us to proceed with the care of your Pet. We accept Cash, Visa, MasterCard, Discover, and CareCredit payments. We neither extend credit, nor bill for services. All open invoices are sent to collections after 45 days unless prior arrangements are made. *

I have read and accept the financial policy.

Schedule Your Pet’s Visit Today

LF Veterinary Services is proud to care for pets and livestock from clients in Smithton, New Athens, Hecker, Belleville, Freeburg, and the surrounding communities of Greater St. Louis. We are committed to providing compassionate, high-quality care tailored to the needs of our local families, farmers, and pet owners.

Request Appointment

Have a Question?

Please complete our online form, and a member of our team will get back to you as quickly as possible.

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Location

13 S Main St, Suite 1
Smithton, IL 62285

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Contact Information

Phone: (618) 418-5007
Email: lfvetservices@gmail.com

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Hours

Monday: 7 AM – 5:30 PM
Tuesday: 7 AM – 5:30 PM
Wednesday: Closed
Thursday: 7 AM – 5:30 PM
Friday: 8 AM – Noon
Saturday: 8 AM – Noon
Sunday: Closed

Name *

First

Last

Email *

Phone

you? Field Phone

How can we help you? *