Call for an appointment: 904-278-0600 Or Schedule Online Now
Welcome New Client

Thank you for giving us the opportunity to care for your pet(s).  So that we may become better acquainted, please complete the following:

Tell Us About Yourself:
Last Name *
First Name*
Address*
Address Line 2
City
State
Zip
Home Phone*
Cell Phone*
Email*
Previous Veterinarian
If your regular veterinarian referred you to Dr. Shelton & Dr. Harris for dentistry please check here
How did you first become aware of our clinic?





By:
Please Indicate you method of payment

The following information is required for writing a check ONLY.

Skip this Section if you are NOT paying with a check.
Date of Birth
Sex
Tell Us About Your Pet:
Type of Pet
Name*
Breed
Color
Date of Birth or Age
Sex
Spayed/Neutered
Other previous surgeries?
Any known allergies?
Special diet or medication?
Have more pets?
Preferred method of contact?
*Required Field.

Monday, Wednesday and Thursday:
8:30 am - 6 pm

Tuesday and Friday:
7:30 am - 6 pm

Saturday:
8 am - 1 pm

Sunday:
Closed