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Patient Check-In Form

Please complete the Rockland Veterinary patient check-in form online before your appointment.

Patient Check-In Form

Please fill out the new patient form for the hospital location of your appointment.


  • Hudson Valley

    Owner Information

    Pet Appointment Information

    By submitting this form I acknowledge that I am at least 18 years of age, am the owner of the pet(s) listed above and have the right to make medical decisions for my pet(s). I agree to accept full financial responsibility for their care and that payment in full is required at the time services are rendered. In the event of an emergency and if I am unable to be reached, I authorize and agree to pay for any service that Rockland Veterinary determines is necessary to provide my pet with the highest standard of care.

  • North Rockland

    Owner Information

    Pet Appointment Information

    By submitting this form I acknowledge that I am at least 18 years of age, am the owner of the pet(s) listed above and have the right to make medical decisions for my pet(s). I agree to accept full financial responsibility for their care and that payment in full is required at the time services are rendered. In the event of an emergency and if I am unable to be reached, I authorize and agree to pay for any service that Rockland Veterinary determines is necessary to provide my pet with the highest standard of care.

  • Pomona

    Owner Information

    Pet Appointment Information

    By submitting this form I acknowledge that I am at least 18 years of age, am the owner of the pet(s) listed above and have the right to make medical decisions for my pet(s). I agree to accept full financial responsibility for their care and that payment in full is required at the time services are rendered. In the event of an emergency and if I am unable to be reached, I authorize and agree to pay for any service that Rockland Veterinary determines is necessary to provide my pet with the highest standard of care.

We are now accepting new patients!

At Rockland Veterinary we are passionate about animals and enjoy helping cats and dogs feel well. Contact our vets in Rockland County today to schedule your furry companion's first appointment! 

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