Fully Booked Until the New Year

We’re grateful for the wonderful response to Revitalizing Pet Care.

Our schedule is currently full, with new client openings starting early 2026.
At this time the New Client Intake Form is unavailable.

Join our waiting list, and we’ll contact you as soon as availability opens.

NEW CLIENT INFORMATION

First NameLast NameEmail AddressTelephonePreferred COntact Number:HomeMobileWorkHome PhoneMobile PhoneWork PhonePreferred COntact method:PHONEText/SMSEmailAddressCityStateZip codeSpouse NameSpouse PhoneCellWorkCurrent CarePrevious Alternate Therapy UseYesNoTraditional Vet NameClinic NameClinic NumberReferred ByPet DetailsPet's NameSpeciesDogCatSexMaleFemaleSpayed/NeuteredYesNoCurrent Heartworm PreventionYesNoCurrent Flea PreventionYesNoDo you have pet insurance?Yesno

For those who maintain pet insurance, we provide the records to the owners for submission.

Do you have any more pets you would like to register at this time?NoYes, add a pet

Second Pet DetailsPet's NameSpeciesDogCatSexMaleFemaleSpayed/NeuteredYesNoCurrent Heartworm PreventionYesNoCurrent Flea PreventionYesNo

I opt in for all clinic announcements & educational newsletters sent via email. I hereby allow Dr. Pam Montgomery-Fittz the right to take photographs or video of me and my animal. I authorize Dr. Pam to copyright, use and publish these in print or electronically. I agree that Dr. Pam may use such images with or without my name and for any lawful purpose including publicity, illustration, advertising or web/online content, Social Media, webinars, etc.I give my permission for Revitalizing Pet Care to send me text messages as a communication method for a variety of practice-related reminders.I have been a former client of Dr. Pam’s. I read and understand the cancellation policy as written below.

Cancellation Policy Due to the nature of this practice, there is a 24-business hour cancellation requirement. Late cancellations are assessed 75% of the scheduled appointment time. Cancellations made within 2 hours of the scheduled time and missed appointments are assessed the full cost of the time scheduled. Confirmation of the cancellation must be made no later than 24 business hours before the appointment to avoid any fees. For example, to cancel an appointment scheduled for Monday at 9am, a call must be received and confirmed by 9am Thursday, as we are not in the office Friday. Once an appointment is scheduled, it becomes the client's responsibility to maintain, change or cancel. A courtesy email reminder is sent 48 business hours prior to all appointments.

Acknowledgement

I understand that acupuncture, chiropractic, herbology, homeopathy, whole food nutrition and other holistic modalities are considered alternative therapies by the Texas State Board of Veterinary Medical Examiners. I also understand that Dr. Pam will inform me of conventional treatments available and their probability to cure the problem.

Signature

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NEW CLIENT INFORMATION

Knowledge is Power

Knowledge
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