New Client Form | Integrity Animal Health Group in Simpsonville & Greenville, SC

New Client Registration

***PLEASE READ PARAGRAPH BELOW BEFORE PROCEEDING***

For Greenville and Simpsonville locations, you can call (864) 963-5219 to register as a new client, fill out the form below, or proceed directly to our online booking option.

Please only list pets that need to be seen at the requested appointment. A vet/client/patient relationship is required by SC Pharmacy Law and is defined as an annual physical exam by the prescribing veterinarian.
Our Client Advocate will reach out to you via email within 1-2 business days with available appointment times. Please add info@integrityvet.com into your email address book so the email response does not go to your junk/spam folder.

The information you provide below will not automatically generate an appointment .

"*" indicates required fields

URL

This field is for validation purposes and should be left unchanged.

Select a Location

Which Location Are You Registering For?*

How Did You Hear About Us?*

Pet Owner Information

Owner:*

First* Middle Last*

Address:*

Street* City* State* Zip Code*

Contact:

Cell*

Home

Work

Email Address*

Spouse/Co-Owner

Name:

First Last

Cell

Email Address

Patient Information

Pet's Name

Breed

Color

Sex

Age

Spayed/Neutered?

Allergic Reactions

What is the Reason for This Visit? Wellness, Ears, Skin, Eyes, Anxiety, Etc.*

Dates/Types of Recent Vaccines

Previous Vet

Previous Vet Phone Number

Owner Name Previous Records Are Under

Current Medications/Supplements

Additional Information (Allergies, Previous Conditions, Etc.)

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