New Clients Information Online Form

Client Information

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Please list anyone other than the above who is permitted by you to authorize treatment (medical service or products provided by Burlington Veterinary Center) for your pet(s):
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Current Pets Owned (name, breed, age):
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How did you learn about Burlington Veterinary Center?
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Payment Options: Please be aware that ALL professional fees are due at the time services are rendered or when your pet is discharged from the hospital. We will gladly prepare a written estimate prior to services needed. We do accept Cash, MasterCard, Visa, Discover, Debit & Care Credit cards and in state personal checks (with a valid CT driver‛s license). If you would like payment information kept on file please check here , and fill out information on reverse side.
Please complete the following information if your preferred payment will be by check:
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If you would like your credit card information kept on file for payment convenience: I authorize Burlington Veterinary Center to use the following credit card as payment of fees incurred at this facility. The card is stored electronically within a secured payment processing system.
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CSR: Swipe card and set up in Avimark
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Burlington Veterinary Center

 17 Covey Rd. Burlington, CT 06013 / USA  1-860-675-6009

Office hours

  • Monday 8:00 am to 6:00 pm
  • Tuesday 8:00 am to 6:00 pm
  • Wednesday 8:00 am to 4:00 pm
  • Thursday 8:00 am to 6:00 pm
  • Friday 8:00 am to 4:00 pm
  • Saturday 8:00 am to 12:00 pm
  • Sunday Closed

Emergencies

Emergencies during office hours will be seen right away. Please call ahead. After hours please contact either:

Veterinary Emergency Center Canton
860-693-6992
135 Dowd Avenue, Canton, CT 06019
Open: 24/7/365
or
Avon Veterinary Emergency Referral
860.470.7456
9 Avonwood Road Avon, CT 06001
Open Monday – Thursday 5 pm–8 am
Friday 5 pm – Monday 8 am
24 Hours on Holidays