We send our pet care reminders, not only by post, but also by email.  We NEVER sell or give out our mailing list.


By completing this form, you acknowledge that you understand that payment is due at the time of service and that you assume responsibility for all charges incurred in the care of your animals by Applebrook.  Should the account be turned over to a collection agency, you will be responsible for the additional charges incurred therein, including, but not limited to collection fees, attorney's fees and court costs.
Applebrook Animal Hospital accepts cash, checks, and all major credit cards.  We are unable to process billing or generate statements.








Applebrook Animal Hospital
9504 Lee Hwy
Ooltewah, TN 37363
423.238.7387
How did you choose us?
You can submit your new client information with this form. Fill in the fields and press submit at the bottom of the page.
Full Name
Spouse/Other
Address
Phone
Cell Phone
Work Phone
Emergency Contact
Emergency Phone
Name of Pet #1
Age/date of birth Pet#1
Name of Pet #2
Age/date of birth-Pet  #2
Previous veterinarian for medical history
Whom can we thank for your referral?
Breed- Pet #2
Breed of Pet #1
Email address
Color of pet #1
Color Pet #2
If you have additional pets, they can easily be added at the time of your visit.  Please do not forget to tell us about them when you arrive.
Reason for visit-Pet  #1
Reason for visit-Pet #2
Dog
Cat
Male
Female
Male castrated
Female spayed
Location
Website
Referral from friend or family
Yellow Pages
Dog
Cat
Male
Female
Male castrated
Female spayed
I agree to above terms.
I would like to have my pet's reminders sent by email