New Client/Patient Request Form

Thank you for choosing Integrative Veterinary Care for your pet care needs!

  • Please submit the "New Client/Patient Request Form" below. 

  • Please request / send veterinary medical records and vaccine information to Integrative Veterinary Care via fax at (203) 643-2103 or email at

  • After receipt of your completed "New Client/Patient Request Form" and medical records, Dr. Zap will review this information, and we will contact you regarding appointment availability.

New Client/Patient Request Form

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