 832-810-4299 … info@lonestaranimaldentist.com… 1100 Smith Drive, Alvin, TX 77511…

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We look forward to seeing you!

Please choose from one of the below options to request an appointment.

New Clients

Please complete our New Client Form to request an appointment. Once completed, a member of our team will reach out to confirm your appointment.

Existing Clients

Please complete our Appointment Request Form, and a member of our team will reach out to confirm your appointment.

Referral Partners

Please complete our Referral Form to refer a patient to Lone Star (for veterinarians).

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New Client Form

Name *

First

Last

Email *

Primary Phone *

Secondary Phone

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Who else is authorized to make decisions about your pet's healthcare? *

First

Last

Phone

How did you find out about our hospital? If you were referred by someone, who should we thank? *

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

Yes
No

What is the microchip number?

Consent that all photographs taken of my pet(s) may be used for the purposes of print, television, video, and web-based advertising, promotion and/or publication on but not limited to social media sites such as Twitter, Facebook, LinkedIn, among others. I understand that only my pet’s first name will be used, and no other identifiable information will be published, and I also understand that there will be no compensation (financial or otherwise) involved. *

I grant permission
I do not grant permission

Your veterinarian has referred you to Lone Star Dentistry & Oral Surgery for Animals out of trust and concern that your pet be provided the opportunity to receive advanced veterinary dental care. By signing below, you hereby authorize Dr. Todd McCoy, Dr. Kristin Kocsis and/or their associates of the Lone Star Dentistry & Oral Surgery to examine and treat the described pets listed in your file. You agree to maintain your relationship with your primary veterinarian for health and wellness issues not related to dentistry. You also assume financial responsibility for the care of your pet(s) and understand payment is due at the time of discharge (all major credit cards, Care Credit, Cash accepted). Permission to release medical history is also granted, unless otherwise stated or revoked. *

I have read and understand

Payment is due in full at the time that services are performed. We accept Cash, Visa, MasterCard, Discover, and CareCredit payments. *

I have read and accept the financial policy.

Signature *

Phone

We’re Excited to Meet you

Book an Appointment

We proudly serve the pets of the greater Houston area, Texas Gulf Coast, and surrounding areas. We look forward to seeing you and your pet. Easily request an appointment for your pet by clicking the button below!

Have A Question?

Fill out our online form, and a member of our team will get back to you as quickly as possible.

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Location

1100 Smith Drive
Alvin, TX 77511

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Contact Information

P: 832-810-4299
E: info@lonestaranimaldentist.com

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Hours

Mon – Thurs: 7:00 am – 5:00 pm
Fri: Closed but voicemails left between 8AM and 12PM on Fridays will be returned that same day.

Sat-Sun: Closed

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