One moment please...
St. Augustine Humane Society New Client Form

PLEASE NOTE: This form is NOT intended for serious injuries or medical emergencies. If your pet needs immediate assistance, please contact your full-service veterinarian.

DAYS OF OPERATION
Monday through Friday
9:00am to 4:00pm with an hour break from 12:30pm to 1:30pm

SURGERY DAYS
Tuesday and Thursday
Check in is usually 8:00am to 8:30am

WELLNESS CLINIC
Wednesday, Thursday, and Friday

Owner's Information
*

First Name
Last Name
*

*

*

Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
*
Pet Information
*

*
*

*

*
*
*
*

*

*

*
*

*
*

*

*
*
*
*

*

*

*
*

*
*

*

*
*
*
*

*

*

If you have more than three pets who need an appointment, please email Chantelle at cbessett@staughumane.org with the following information for any additional pets:

  • Pet's Name
  • Approximate Age
  • Breed
  • Color
  • Approximate Weight
  • Pet's Sex
  • Is pet spayed/neutered?
  • Reason for Visit
  • What food are you feeding the pet?
  • Health history/medications pet is currently on?

Please note that this IS NOT a confirmation for an appointment date.

If you have a copy of your pet's vaccination records, please upload them here. If not, please have the records emailed to Chantelle at cbessett@staughumane.org.