Facebook Instagram
Request Appointment
Menu
Request Appointment

New Patient Form

✨ Welcome to Towanda Creek Animal Hospital

We're excited to meet your pet!

If you’ve already scheduled your appointment, thank you — this form will help us prepare for your visit. If not, someone from our team will follow up shortly to schedule one after reviewing your submission.

Request Appointment

Questions? Call us at (570) 265-9855.

📋 What to Bring to Your Appointment:

Please bring any of the following records you have from your previous veterinarian:

  • Vaccination/shot records
  • Previous medical history
  • Lab results or prescriptions
  • Notes on behavioral or training concerns

These details help us provide the best possible care during your visit.

Owner's Name
Spouse/Co-owner's Name
Address
Email Address
Would you like to receive occasional updates, pet care tips, and special offers by email?


You can unsubscribe from marketing emails at any time.
We’ll still contact you about your pet’s care and appointments when needed.
View our Terms of Service.


Do you consent to receive SMS messages from Towanda Creek Animal Hospital?


By selecting “Yes,” you agree to receive text messages from Towanda Creek Animal Hospital about your pet’s appointments, reminders, and occasional updates or offers.
Message and data rates may apply. You can unsubscribe anytime by replying STOP or contacting us.
View our Terms of Service.


Pet Information

Spayed or Neutered?
Drag & Drop Files, Choose Files to Upload You can upload up to 5 files.