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New Client Form

Start your pet’s journey with us by completing our easy online new client form. Join South Broward Animal Hospital now!

New Client Form

Please ensure all fields are filled accurately and completely in our new client form. Your pet’s health is our top priority.

Name *

First

Last

Email *

Primary Phone *

Secondary Phone

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Who else is authorized to make decisions about your pet's healthcare?

First

Last

Phone

How did you find out about our hospital? If you were referred by someone, who should we thank? *

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

Yes
No

What is the microchip number?

Do you have a second pet? *

Yes
No

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

Yes
No

What is the microchip number?

Do you have a third pet? *

Yes
No

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

Yes
No

What is the microchip number?

Do you have a fourth pet? *

Yes
No

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

Yes
No

What is the microchip number?

Do you have a fifth pet? *

Yes
No

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

Yes
No

What is the microchip number?

Payment is due in full at the time that services are performed. We accept various payment options for your convenience, including cash, credit card, Scratchpay, CareCredit, and Apple Pay. You can choose any of these methods to settle your pet's bill at South Broward Animal Hospital. Thank you for entrusting us with your pet's care. *

I have read and accept the financial policy.

Website

Ready for a Visit?

We proudly serve the pets of South Broward, Fort Lauderdale, Dania Beach, Hollywood, FL, and surrounding areas. We hope to meet you and your furry friend soon! You can use the button below to request an appointment or download our app.

Request Appointment Download Our App

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Address

2871 Stirling Road
Fort Lauderdale, FL 33312



Contact Details

Phone: (954) 987-7387
Email: hello@sbanimalhospital.com



Hours

Monday-Friday: 8:30 AM — 5:00 PM
Saturday: 8:30 AM — 3:00 PM
Sunday: Closed

Have a Question?

Get in touch! We look forward to hearing from you.

Name *

First

Last

Email *

Phone

How can we help you? *

Comment

Other Areas We Serve

South Broward, FL
Fort Lauderdale, FL
Dania Beach, FL
Hollywood, FL

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