New Client Form

Welcome to Cross Street Veterinary Hospital—where compassionate care and trusted expertise come together to support your pet’s health. If you’re visiting us for the first time, we invite you to complete our New Client Form in advance of your appointment. This form gathers essential information about you and your pet so we can provide personalized, efficient care from day one.

Get Started

What to Expect

Filling out the form ahead of time helps us:

Prepare for your visit before you arrive
Minimize wait times at check-in
Understand your pet’s medical history, needs, and lifestyle

All information submitted through the form is kept secure and confidential.

Ready to Get Started?

Complete your New Client Form below. Our team will follow up promptly to confirm your visit and answer any questions.

Your Name *

First

Last

Primary Phone *

Email Address *

Mailing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Would you like to add a co-owner? *

Yes
No

Medical History

Previous Veterinarian (if any) *

May we request their records? *

Yes
No

Any allergies, health concerns, or conditions we should know about?

Any current medications or supplements?

Are vaccinations up to date? *

Yes
No
Not sure

How did you find us?

Google / Online
Social Media
A friend or family member

May we share your pet’s photo on our social media? *

Yes
No

Consent & Acknowledgment

We want to make sure you feel informed from the very beginning. By signing below, I confirm that:

I am at least 18 years old and the legal owner or authorized caretaker of the pet listed on this form.
I give permission for the veterinary team to perform a physical exam and provide routine services like vaccinations, wellness testing, and preventative care, as discussed with me.
I understand that payment is due at the time of my visit.
I acknowledge that audio and video recording may occur on clinic premises (including phone calls) for documentation, training, and quality assurance purposes.

Signature *

Clear Signature

Date *

Website

Thank you for being part of our clinic family. We’re honored to care for your pet!

ServingWinchester, MA and Beyond

Cross Street Veterinary Hospital proudly supports pet owners in Winchester, Woburn, Burlington, Medford, Arlington, and Stoneham. Whether you’re new to the area or simply looking for a veterinary practice that puts care and connection first, we’re glad you’re here.

Contact

Hours

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New Client Form

What to Expect

Ready to Get Started?

Pet Information

Medical History

Consent & Acknowledgment

ServingWinchester, MA and Beyond

Questions? We’re Just a Call or Click Away.

Location

Contact Information

Hours