Welcome to Vermillion Veterinary Clinic!

New Clients

Name: Vermillion Veterinary Clinic
Address: 825 N Norbeck St, Vermillion, SD, 57069, United States
Telephone: 605-741-8008
Price range: $

Get Started

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Thank you for considering us for your pet’s needs!

Please fill out our new client registration form in its entirety to ensure we can provide you and your pet with the best possible care. Please Note: Any fields with * are required.

Client Information

Client's Name *

First

Last

Spouse/Partner/Roommate Name

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone Number *

Work Number

Mobile Number

Person to reach in case of emergency:

Name *

Relation *

Phone Number *

Would you like to receive reminders and updates via text message? *

Place of Employment *

Occupation *

Driver’s License # *

State *

Email Address *

Spouse/Partner/Roommate Contact Information

Work Number

Mobile Number

Place of Employment

Occupation

Please note:

ALL fees are due at the time services are rendered!

Pet Information

Name *

Species *

Date of Birth/Approximate Years Old *

Breed *

Color *

Male or Female? *

Male
Female

Spayed/Neutered? *

Last Seen At: *

Would you like to add a second pet? *

Second Pet

Name

Species

Date of Birth/Approximate Years Old

Breed

Color

Male or Female?

Male
Female

Spayed/Neutered?

Last Seen At:

Would you like to add a third pet?

Third Pet

Name

Species

Date of Birth/Approximate Years Old

Breed

Color

Male or Female?

Male
Female

Spayed/Neutered?

Last Seen At:

Read and initial:

All fees are due and payable upon release of the patient. If the patient has to be admitted, a deposit will be required at the time. *

I am aware that my balance will be doubled if this account is assigned to an outside agency for collections. I am also aware that there is a $30.00 charge for returned checks, and they are subject to prosecution by the district attorney’s office. *

I give Vermillion Veterinary Clinic permission to obtain my pet’s medical history from other animal hospitals and share my pet’s medical history with other Veterinarians upon request. *

Signature *

Clear Signature

Date *

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Location

825 N Norbeck St
Vermillion, SD 57069

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Contact

605-741-8008
pets@vermillionvetclinic.com

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Hours

Monday - Friday
8 AM - 5 PM

Saturday - Sunday
Closed

We look forward to your visit!

Your Doctors,

Dr. Aaron Bessmer

Dr. Kalene Gross

Dr. Elizabeth Schmit

Dr. Nick Schmit

Appointment

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Have a question?

Get in touch! Complete the form below, and a member of our team will reach out to you shortly. If you're in need of immediate assistance, please contact us at 605-741-8008.

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Email *

Phone

How can we help you? *