New Patient Registration Form

Welcome!

Thank You For Choosing Allentown Animal Clinic

If your pet is scheduled for their first appointment with us, please fill out the form below and we will be in contact with you shortly!

  • Please enter the first name of the pet's owner.
  • Please enter the last name of the pet's owner.
  • Please enter your mobile phone number.
    This isn't a valid mobile phone number.
  • Please enter your email address.
    This isn't a valid email address.
  • Please enter your street address.
  • Please enter your city.
  • Please enter your state.
  • Please enter your postal code.
  • Please enter date.
  • Please enter the name of your pet.
  • Please enter the species of your pet.
  • Please enter the breed of your pet.
  • Please enter the age of your pet.
  • Please make a selection.
  • Please make a selection.
  • Please enter your previous veterinarian.

WE LOVE THEM LIKE YOU DO

  • Highest Level of Veterinary Medicine
  • Friendly & Compassionate Care
  • Treating a Wide Variety of Species
  • Community Conscious
Get Your Pet the care they need.

See our hours and schedule an appointment today!

Real Pets. Real Owners.

  • “Expected a crazy bill because of the animal and was wonderfully surprised at how reasonable the bill was for all the services I received”

    - Kristen
  • “Very trustworthy place, detail-oriented, and truly care about your pets.”

    - Haley P.
  • “I'm blessed to have them to care for my pets' health.”

    - Iynne R.