Thank you for giving us the opportunity to take care of your pet! We will be happy to answer any questions you may have about your pet's health. We can provide a written estimate of services when requested. Please take a moment to complete this information so that we can better support your pet's needs today and in the future.

    Owner Information

    Secondary Contact

    Pet Information

    List any food or other allergies, current food used, medications used (including current preventatives), and any ongoing health conditions (i.e., liver disease, heart disease, kidney disease, seizures, blindness, deafness, storm anxiety, or aggression towards dogs, cats, and or humans, food aggression). 
    Pet:
    Pet (2):
    Pet (3):
    Pet (4):

    Authorization for Release of Information

    This authorization is to obtain records. It will apply to all pets listed on this form, in the same household. 

    Requirements and Authorization

    To prevent the spread of infectious diseases, all hospitalized and boarded patients must be current on all vaccines (DHPP, Rabies, and Bordetella) and free from external and internal parasites. Signing below authorizes Advanced Veterinary Care to administer the required preventative care if your pet is out of date or the records regarding the above not been provided. For clients who use other vet clinics for their preventative care, AVC prefers paper records hand delivered from the owner or agent of the pet. It is the owner's responsibility to see that emailed of faxed records are received.

    I hereby authorize Advanced Veterinary Care of Vestavia Inc.'s veterinarian(s) to examine, prescribe for and treat the above-described pets. I assume responsibility for all charges incurred in the care of the above animal(s). I understand that the charges will be due at the time of services are rendered. We take Cash, Check, Mastercard, Visa, Discover, American Express, and Care Credit. 

    All charges must be paid at the time of service. If a payment is not made within 60 days, the account balance will be transferred to our collection's agency along with a $25.00 processing fee. Make sure your contact information that we have on file is correct. Please note that we are an approved location for the use of Care Credit, a health care credit card. For questions or concerns, please contact Katheren Prinz-Ray or Lindsay Harp. We appreciate your loyal business.



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Contact Us

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​Let us know so we can make it right.  

​2509 Rocky Ridge Rd
​Vestavia Hills, AL 35243

​Phone: (205) 823-5433
Email: [email protected]
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