New Client Form

Welcome!

Thank You For Choosing Animal Clinic & Hospital of Jersey City

If you are scheduled for your first appointment with us, please fill out the form below and we will be in contact with you shortly!

  • Please enter your first name.
  • Please enter your last name.
  • Please enter your phone number.
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  • Please enter your email address.
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  • Please enter your street address.
  • Please enter your city.
  • Please enter your state.
  • Please enter your zip code.
  • Please enter your emergency contact.
  • Please enter your emergency contact phone.
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  • Please enter your pet's name.
  • Please enter your pet's species.
  • Please enter your pet's breed.
  • Please enter your pet's Color.
  • Please enter your pet's age.
  • Please enter your previous veterinarian.
  • Please indicate whether your pet is male or female.
  • Please indicate whether your pet is neutered/spayed.
  • Please enter a message.
  • If you were referred by someone let us know who it is so we can make sure to thank them. (Please include first and last name)

Why Pet Owners In Jersey City Choose Us

  • More than 6 Decades of Experience

    We have a love for Jersey City, the surrounding close-knit communities and its furry pets. Passionately dedicated to providing the best care since 1953.

  • Experts of Pet Wellness

    We are dedicated to discovering the root of your pet's health concerns, healing them back to health and continuing to care for them far beyond.

  • Educational Resource for Pet Owners

    Our vets are full of knowledge and are ready to share with pet owners. Beyond that, we provide resources that will help you make informed decisions regarding your pet's wellness.

Does your fur baby need attention?

Learn more about our hours and request an appointment

Real Stories from Real Owners

Read Our Reviews
  • “From the vet tech to Dr. Danaher-Hodges, we are so glad that we found these guys.”

    - Leah
  • “The staff is friendly and accommodating and my experience has been wonderful.”

    - Carell C.
  • “Dr. Buchholz was super knowledgeable, personable, and not the least bit pushy.”

    - Jessica M.