New Client & Patient Forms in Williamsburg

Filling out your forms ahead of time means more of your visit is spent on your pet. Choose a form below to open it, or reach out and we'll help.

Start a form → (757) 564-9815
New Client Registration New to Noah's Ark? Share your contact and pet details before your first visit.
Owner Information
Spouse / Secondary Contact Optional — add a second person on the account.
Animal Information #1
Cat or Dog (required)
Spayed / Neutered (required)
Animal Information #2 Optional — add a second pet.
Cat or Dog (optional)
Spayed / Neutered (optional)
Animal Information #3 Optional — add a third pet.
Cat or Dog (optional)
Spayed / Neutered (optional)
Acknowledgement
A friend, another vet, an online search — however you found us.

Payment is required at the time services are rendered. We accept cash, check, and all major credit cards. Please read and sign below.

Virginia Veterinary Board mandated disclosure: Noah's Ark Veterinary Hospital has medical staffing hours as follows: Monday through Friday 7:30 a.m. to 6:00 p.m., and on Saturday 7:30 a.m. till 12:00 noon; we are closed Sundays and major holidays. This is to inform you that we have no in-house, on-duty continuous medical staff care: Overnight — from closing at 6:00 p.m. until 7:30 a.m. Monday through Friday. Weekends — from closing Saturday 12 noon until 7:30 a.m. Monday. Holidays — for Christmas, New Year's, and holidays which fall on a Monday, from closing 12:00 noon the day before the holiday until 7:30 a.m. the next business day; for other holidays, from closing at 6:00 p.m. the day prior until 7:30 a.m. the following business day.

This is the manner in which Noah's Ark Veterinary Hospital has always been staffed and is the manner in which the vast majority of veterinary clinics are staffed. This disclosure is now required of all veterinary hospitals by Virginia law.

Type your full name as your electronic signature.

By submitting you agree we may contact you about your pets' care. We never share your information.

Diarrhea Questionnaire Bringing your pet in for diarrhea or loose stool? Tell us the symptoms ahead of time.
Your Information
About the Diarrhea
Is the diarrhea more severe now than a few days ago? (optional)
Diet & Appetite
Does your pet have access to foods other than what you feed it? (optional)
Has there been a diet change in the last few weeks? (optional)
If so, does that correspond with the onset of the diarrhea? (optional)
Activity & Other Signs
Is your pet as active as normal? (optional)
Environment & Exposure
Does your pet go outside your house? (optional)
Does your pet go outside your yard? (optional)
Does your pet have access to garbage cans, either within your house or yard or outside your yard? (optional)
Does your pet have toys that it plays with that it could have swallowed? (optional)
Does your pet have access to sewing materials, such as thread or needles, rubber bands, or string? (optional)

This questionnaire helps our team prepare for your visit. We never share your information.

Quick actions

Set up your Pet Portal →

Manage your pet's records, reminders, and requests in one place.

 Request an Appointment →

Pick a time that works for you and we'll confirm.

 Request an RX Refill →

Refill your pet's prescription without a phone call.
Need A Hand?

Questions about your forms or first visit?

Call us and we'll walk you through it.

(757) 564-9815 Contact Us →