Name: Hamlin Animal Hospital
Address: 25067 Elk Lick Rd., South Riding, VA, 20152, USA

By signing below, I agree that I am the owner or the responsible agent for the animal(s) registered to my account. I certify that I am over 18 years of age. I hereby authorize veterinarians and staff employed by the partners of Dulles South Veterinary Center (Aldie Veterinary Hospital, LLC and/or Dulles South Animal Emergency & Referral Hospital, LLC), hereinafter referred to as DSVC, to examine, prescribe, and treat the patients I register on my account. I assume responsibility for all charges incurred in the care of this/these animal(s). I also understand that all professional fees are due at the time services are rendered.

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Monday-Friday: 7:30AM to 7:30PM Saturday and Sunday: 8:30AM to 2:00PM ** Dulles South Animal Emergency is responsible for the care, admittance, and monitoring of animals once Aldie Veterinary Hospital has closed.	Patient care and attention is provided for your pet 24 hours every day of the year. No pet will be admitted after 7:30 pm unless one of our veterinarians is available to examine your pet, along with the necessary services needed, so that our technical support staff may provide the after-hours and overnight care. Please contact us at 703-327-0871 if you believe your pet has an urgent need.
Closed on Major Holidays	Open on all Major Holidays

Client Registration Form

CLIENT INFORMATION