Urgent Care or Emergency? We can help but have limitations. Learn More

We will be closed on Monday, May 25th for Memorial Day. We will resume normal business hours on Tuesday, May 26th. In the event of an emergency over the long weekend, please contact one of the following Emergency hospitals:

𝙈𝙚𝙩𝙧𝙤𝙥𝙤𝙡𝙞𝙩𝙖𝙣 𝙑𝙚𝙩𝙚𝙧𝙞𝙣𝙖𝙧𝙮 𝙃𝙤𝙨𝙥𝙞𝙩𝙖𝙡 (330) 666-2976
1053 S Cleveland Massillon Rd, Akron, OH 44321

𝙈𝙚𝙙𝙑𝙚𝙩 𝘼𝙠𝙧𝙤𝙣 (330) 665-4996
1321 Centerview Cir, Akron, OH 44321

New Client Form

Name: Brimfield Veterinary Services
Address: 1094 Tallmadge Road, Kent, OH, 44240, United States
Telephone: 330-678-3112
Price range: $

Save time during your next appointment! Complete your required forms online from any device at any time before your visit.

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New Client Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit. If this is an emergency, or if your pet needs urgent care, please call us at 330-678-3112 for a faster response.

Name *

First

Last

Email *

Primary Phone *

Secondary Phone

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Who else is authorized to make decisions about your pet's healthcare? *

First

Last

Phone

How did you find out about our hospital? If you were referred by someone, who should we thank? *

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

Yes
No

Payment is due in full at the time that services are performed. If being admitted into the hospital, we cannot begin the care of your Pet until you have confirmed your desire to do so by 1) signing the client consent & estimate form, and 2) leaving an initial deposit of 50% of the upper end of the estimate. This is the only way that we have of knowing for certain that you want us to proceed with the care of your Pet. We accept Cash, Visa, MasterCard, and Discover. We neither extend credit, nor bill for services. All open invoices are sent to collections after 45 days unless prior arrangements are made. *

I have read and accept the financial policy.

Message

New Client Form

New Client Form

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Address

Contact

Hours

Monday & Wednesday

Tuesday

Friday

Thursday, Saturday & Sunday

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