New Client Registration

***PLEASE READ PARAGRAPH BELOW BEFORE PROCEEDING***
For Taylors location, please call (864) 268-0860 to proceed with new client registration.
For Greenville and Simpsonville locations, please complete this form to start the new client registration process. If you have an urgent need, please call 864-963-5219.
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 [email protected] 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 .

Registration

* Indicates required field

What location are you registering for? *

DO NOT REGISTER HERE FOR SUNRISE LOCATION.
PLEASE CALL 864-268-0860 TO REGISTER AND SCHEDULE.

Simpsonville Location: 3110 N. Industrial Drive
East North Location: 550 Old Howell Road
Sunrise Location: 8 Edwards Mill Road

Name *

First

Last

Spouse/Co-Owner *

First

Last

Phone Number *

Spouse/Co-Owner Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

How did you hear about us? *

What is the reason for this visit? Wellness, Ears, Skin, Eyes, Anxiety, etc. *

Pet's Name *

Species *

Approx. Age/DOB *

Sex *

Breed *

Color *

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.) *

If you have additional pets, continue to provide their information, otherwise scroll down and click submit.

If you have any records from mobiles or shelters, please send those to [email protected] or request the facility do so.

Pet #2 Name: *

Species *

Approx. Age/DOB *

Sex *

Breed *

Color *

Dates/Types of recent vaccines *

Current medications/supplements *

ADDITIONAL INFORMATION (ALLERGIES, PREVIOUS CONDITIONS, ETC.) *

If you have additional pets, continue to provide their information, otherwise scroll down and click submit.

Pet #3 Name *

Select One *

Approx. Age/DOB *

SEX *

Breed *

Color *

Dates/Types of Recent Vaccines *

Current Medications/Supplements *

ADDITIONAL INFORMATION (ALLERGIES, PREVIOUS CONDITIONS, ETC.) *

Submit

Please save [email protected] in your email address book so our response email does not go to *SPAM. Thank you!