Lonestar Animal Hospital
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New Client/Patient Form

If you are a new Client bringing a pet for the first time or an existing Client bringing a new pet for the first time, there is some paperwork that will need to be filled out. You may fill out the form on the website and it will be sent directly to us or you may download the form and print it out at home. We also have the forms available in the Clinic if you do not wish to use the ones available on the site.

    ​New Client/Patient Form

    *A copy of license will be made in office for all new pets.
    Max file size: 20MB
    Please upload any previous history you may have for your pet.
    I assume responsibility for all charges incurred in the care of this animal. I understand that these charges must be paid at the time of services unless payment arrangements are made in advance. Any balance carried is subject to a 2.0% Monthly Finance Charge and a $1.50 Billing Charge. With any payment arrangements, if the undersigned fails to make any payments due hereunder, hospital may at anytime thereafter, without notice or demand, declare the entire unpaid balance of the account to be immediately due and payable. The undersigned promises to pay all cost of collection, including, but not limited to court costs, attorneys fees equal to 15% of any amount due and owing to the hospital, and any other collection fees which are incurred by or on behalf of the hospital in enforcing payment after default. The undersigned expressly agrees and stipulates that if, in the sole discretion of the hospital, its representatives or its attorneys, litigation or court process is necessary to enforce payment hereunder, that the venue for such litigation or court process shall be the Circuit Court for Wicomico County, Maryland, or the District Court of Maryland for Wicomico County, Maryland, and the undersigned hereby expressly waives any right of venue or trial in any county or jurisdiction other than Wicomico County, Maryland.
Submit
Below is the downloadable version of the form for you to fill out at home.
New Patient/Client Form
File Size: 84 kb
File Type: pdf
Download File

10211 Sharptown Rd
Mardela Springs, MD 21837
Helpful Info

Contact Us
After Hours Emergencies
Phone: 410-749-1442 (Call or Text)
​Fax: 410-883-3551

Email: lonestaranimalhospital@comcast.net​
Hours
We close at 2 PM the first Friday of each month. 
We usually have special Holiday Hours as well.
Monday 9:00 AM - 6:00 PM (Closed for Lunch from 2:00 PM - 3:00 PM)
Tuesday 9:00 AM - 5:00 PM
Wednesday 9:00 AM - 8:00 PM (Closed for Lunch from 2:00 PM - 3:00 PM)
Thursday     CLOSED
Friday 9:00 AM - 6:00 PM (Closed for Lunch from 2:00 PM - 3:00 PM)
Saturday     CLOSED
Sunday     CLOSED
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  • Home
  • Make A Payment
  • CareCredit Online Payment
  • Online Pharmacy
    • Covetrus Online Pharmacy
    • Vetsource Online Store
  • Reviews
  • New Client/Patient Form
  • Services
    • Surgical - FAQ's
  • About
    • Hospital Policies >
      • Privacy Policy
  • Contact
  • Petly
  • Informational Pages
    • Poisonous Plants
    • FAQ's
    • Links
  • COVID -19 Protocols
  • Pet Video Upload Page