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919.781.0696
Affordable Surgery
Pet Dentistry
Emergencies
Pet Portal App

Home
About
Our Services
- Wellness & Preventive
- Surgery & More
Pet Owners
Education
Contact
- Careers
- Legacy Vet

Request Appointment

Home
About
Our Services
- Wellness & Preventive
- Surgery & More
Pet Owners
Education
Contact
- Careers
- Legacy Vet
Request Appointment

919.781.0696
Affordable Surgery
Pet Dentistry
Emergencies
Pet Portal App

New Client Registration Form

Welcome to Creedmoor Road Animal Hospital! If you’re a new client or are registering a new pet, please fill out the form below.

Have you ever brought a pet to Creedmoor Road Animal Hospital before?(Required)

Yes

No

Owner Information

Primary Owner's Name(Required)

First Last

Email(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

How would you prefer to be contacted?(Required)

Phone

Text

Email

Is there anyone else who should be listed on your account, who has ongoing permission to make medical decisions for your pet(s)?(Required)

Yes

No

Emergency Contact

Relationship(Required)

Phone(Required)

Pet Information

Name(Required)

Species(Required)

Dog

Cat

Other

Breed(Required)

Color(Required)

Age/Date of Birth(Required)

Sex(Required)

Male, intact

Male, neutered

Female, intact

Female, spayed

Microchipped(Required)

Yes

No

Microchip Number(Required)

Did your pet have a previous veterinarian?(Required)

Yes

No

Previous Veterinarian

Hospital Name(Required)

Hospital Phone(Required)

Consent

We Love Social Media! Do we have your permission to post pictures of your pet(s), you and your pet(s) and/or your pet(s) and our team on Facebook, Instagram, Twitter, www.creedmoorroadanimalhospital.com and any other marketing and/or other social media outlets we may choose to use?(Required)

Yes

No

Agreement(Required)

I agree with the below statement.

I agree to release Creedmoor Road Animal Hospital from all claims for libel, slander, invasion of privacy, infringement and copyright or right of publicity or any other claim and confirm that I am over the age of 18 years old.

Creedmoor Road Animal Hospital uses email, text and our own hospital app for communications regarding our patient's reminders for health care needs. Do we have your permission to contact you via email, text and/or our app regarding these reminders?(Required)

Yes

No

Medical Records

Max. file size: 5 GB.

Or email them to crahpets@gmail.com

A Legacy Vet Hospital

We understand that your pet is part of the family, but even so, each family has specific needs and parameters. We will always do our best to work within those while making sure your pet gets the care he or she needs.

Our Locations

5919 Creedmoor Rd,
Raleigh, NC 27612

Contact Info

Phone: 919.781.0696

Fax: 919.783.5755

Office Hours

Mon-Fri: 7:00AM – 6:00PM
Sat-Sun: Closed

©2026 Creedmoor Road Animal Hospital. Designed and Managed by ViziSites. Terms of Use. Website Accessibility.

April Specials

We’re excited to announce our April Specials!

Bravecto Injection – $20 off

ProHeart – $20 off

Bravecto + ProHeart Together – $40 off (both at same visit)

Senior Pet Exam – $10 off

Dasuquin Joint Supplement – 20% off

Call or text (919) 781-0696 to schedule.

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