New Client Form Providing Fair & Honest Care Since 1996

New Client Form

Thank You For Choosing North Haledon Veterinary Care

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

New Client Form

  • Please enter your first name.
  • Please enter your last name.
  • Please enter your phone number.
    This isn't a valid 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 zip code.
  • Please enter your emergency contact.
  • Please enter your emergency contact phone.
    This isn't a valid phone number.
  • Please enter the date.
  • Please enter your pet's name.
  • Please enter your pet's species.
  • Please enter your pet's breed.
  • Please enter your pet's age.
  • Please enter your previous veterinarian.
  • Please indicate whether your pet is male or female.
  • Please indicate whether your pet is neutered/spayed.
  • Please enter a message.
  • If you were referred by someone let us know who it is so we can make sure to thank them. (Please include first and last name)

Pawsitively Raving Reviews

  • “Such a great staff. My dog sees Kyle & her tail immediately wags in circles. Doctors are very caring. All the techs are awesome. Very professional.”

    - Diane B.
  • “This place is 100% recomendable. Since I walked into the office everybody welcomes you very nicely. Dr. Is very nice and he can answer every question, he does not rush he takes his time examine my little puppy. The whole staff is very friendly!!!”

    - Zoe M.
  • “The best, most compassionate vet practice. They've cared for all my pets over 23 years! The staff know you, Jeff is the best!!! Thank you for doing what you do!”

    - Andy H.

We're Here For Your Pet

  • Each Client Can Expect a Warm Welcome in A Family-Feel Environment
  • We Care For & Treat Your Pet Like Family
  • We Offer Modern Medicine & Personable Care
  • We Have Been Serving the Community for 25 Years
Ready For Your First Visit?