Please call us before coming in. Filling out this registration form does NOT mean you are making an appointment.
**For exotic pets (i.e. other than dogs and cats)**
I understand that Rockingham Emergency Veterinary Hospital does not have an exotic pet specialist on staff, and the doctors at REVH are not experts or specialists in exotic species. As an emergency hospital, REVH can typically provide only basic supportive care and stabilization for exotic patients. Depending on your pet's needs, you may be referred back to your primary care veterinarian or to an exotics specialist for further care or diagnostics.
I, the undersigned, certify that I am 18 years of age or older and I am the legal owner (or authorized agent of the owner) of the patient listed above. I agree to assume financial responsibility for all charges incurred and agree to pay such charges at the time of services rendered. I also understand that personal checks are not accepted. I am responsible for all interest and collection fees on any unpaid balance, as well as reasonable attorney fees and court costs associated with collection of unpaid balances. I acknowledge that the above information is true and accurate to the best of my knowledge.