New Clients

Thank you for choosing The Purr and Bark. We will provide your Pet the best care possible. Please complete the following form so that we have as much information as possible before we see your Pet. This will also save you time the day of the appointment. If you have multiple Pets to be seen, fill the form out and submit it for the first Pet. For the second Pet, just fill in your name and only the Pet Information section. Then submit the form again for the second Pet.

Please feel free to call 919-872-6665.

Thank you,

Dr. Regina

  • Client Information

  • Spouse Information

  • Contact Information

  • Pet Information

  • General Client Information

  • What Can we Do For Your Pet?

    I authorize The Purr And Bark Veterinary Mobile Doctor to request my pet's vaccine history if needed.