Manchester Veterinary Clinic

156 Spencer Street
Manchester, CT 06040


New Client Check-In


(with more than one pet)





Please assist us in creating a file for your pet. Complete our full new patient form, by clicking the "New Patient" button.

Only if you have additional pets, complete the form below

Thank you for your cooperation in letting us assist you.

Our trusted vets have been helping pets from Manchester area for over 40 years in the same location ? Manchester - CT 

Additional Pet Form

Name (required)
First Name (required)
Last Name (required)
Contact Phone
Phone TypePhone Number
Pet's Name (required)

Age: Years, Months

Pet's Date Of Birth (if you know it)

Type of Pet (required)


Breed (required)

Color (required)

Sex (required)



Neutered (male)
Spayed (female)
Not Altered

How long has your pet been part of your household?

Reason or conditions that prompted your visit?

Special requests or conditions?

Additional Questions or Comments

Where was previous veterinary care provided? (required)

Do we have permission to call for your pet’s records? (required)

No prev. vet or vet unknown

Please provide the vet’s phone number or city/state they are located. (required)

Payment is due at the time of service; for your convenience we accept all major credits, debit cards, cash and CareCredit.

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