• (205) 661-9630
  • 6030 Deerfoot Pkwy Trussville, AL 35173
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Deerfoot Animal Clinic
  • About Us
    • Team
    • Photo Gallery
    • Promotions
    • Careers
  • New Clients
    • Boarding Form
    • New Client Registration Form
  • Services
    • Wellness Care
    • Surgical Services
    • Medical Services
    • Boarding & Daycare
    • Preventive Services
    • Additional Services
    • Orthopedic Surgery
  • Pet Health
    • Pet Health Checker
    • Pet Health Library
    • Pet Food Recalls
    • Pet Insurance
    • Product Recalls
    • How-To Videos
    • News
  • Pharmacy
    • In Clinic Refill and Food Request
  • Contact
    • Request an Appointment
    • Prescription Refill Request
Deerfoot Animal Clinic

New Client Registration Form

Thank you for considering our hospital as your pet’s provider of veterinary services. We are dedicated to maintaining the health of your pet and look forward to many future years together.

Please complete this form as fully as possible prior to your first appointment which will help expedite the registration process and give us valuable insight in providing optimal care for your pet(s). The required sections have a red * asterisk.

  • Owner's Name

  • Co-owner's Name & Contact #

  • Pet Information

  • Date Format: MM slash DD slash YYYY

  • Second Pet

  • Date Format: MM slash DD slash YYYY

  • Third Pet

  • Date Format: MM slash DD slash YYYY

  • Fourth Pet

  • Date Format: MM slash DD slash YYYY

  • Authorization


a commitment to caring

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contact us

6030 Deerfoot Pkwy
Trussville, AL 35173

Phone: (205) 661-9630

Monday – Friday:
7:00 am – 6:00 pm

Saturday / Sunday:
Closed

Closed for lunch
12:30pm -1:30pm

emergency info

Emergency Pet Care

7299 Gadsden Highway

205-661-2273

Monday – Friday
6:00 pm – 7:00am

24 hour weekends & holidays

© 2023 Deerfoot Animal Clinic.
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  • About Us
    • Team
    • Photo Gallery
    • Promotions
    • Careers
  • New Clients
    • Boarding Form
    • New Client Registration Form
  • Services
    • Wellness Care
    • Surgical Services
    • Medical Services
    • Boarding & Daycare
    • Preventive Services
    • Additional Services
    • Orthopedic Surgery
  • Pet Health
    • Pet Health Checker
    • Pet Health Library
    • Pet Food Recalls
    • Pet Insurance
    • Product Recalls
    • How-To Videos
    • News
  • Pharmacy
    • In Clinic Refill and Food Request
  • Contact
    • Request an Appointment
    • Prescription Refill Request