New Client Registration Form

We're so pleased to meet you and your pet. Use this form to help us serve you best when you visit us. We'll be prepared to meet you.
  • About You

  • Daytime
  • Evening
  • Cell
  • Street
  • City
  • State
  • Zip Code
  • Referral Information

  • About Your Pet

    Please use this area to give us relevant information about yourself, your pet and/or your family too.
  • (If known)
  • (Describe)
  • (If known)
    Date Format: MM slash DD slash YYYY
  • (If any)
  • (If any)
  • (If known)
    Date Format: MM slash DD slash YYYY
  • Indicate if conditions are current or past
  • Please use this space to give us any other relevant information about your pet
  • This field is for validation purposes and should be left unchanged.

“The BEST Veterinary medical facility I have ever brought dogs to.”

John O.

“I have found my forever Vet.”

Barbara Kist

“Couldn't ask for anything better! They are the best!”

Lisa Nuccio

“Best Vet's office I have been to.”

Valentina Ramos

196 Rock Road
Glen Rock, NJ 07452

M–F 9 am – 6 pm; Sat 9 am – 5 pm

CALL 201-670-7200

196 Rock Road

Glen Rock, NJ 07452

M–F 8 am – 6 pm

Sat 8 am – 5 pm

CALL 201-670-7200

© Glen Rock Vet | Privacy Policy | Sitemap | Designed with love by Embodyart