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    • Dr. Gena Williams
    • Dr. Brad Franklin
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    • Dermatology
    • Diagnostic Imaging
    • Heartworm Testing
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    • New Client Form
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  • Contact Us
  • Home
  • About Us
    • Meet the Team
    • Dr. Allison Kirchgatter
    • Dr. Gena Williams
    • Dr. Brad Franklin
    • Our Locations
  • Our Services
    • Boarding
    • Dental
    • Dermatology
    • Diagnostic Imaging
    • Heartworm Testing
    • Hospice/Euthanasia
    • In-clinic Diagnostics
    • Intensive Care
    • Microchipping
    • Nutritional Counseling
    • Pain Management
    • Pharmacy
    • Online Pharmacy
    • Shop Now
    • Surgery
    • After-Hours Emergency Information
  • FAQs
  • Forms
    • New Client Form
    • Drop Off
  • Links
    • American Heartworm Society
    • Companion Animal Parasite Council
    • ASPCA Poison Control
    • Care Credit
  • Contact Us

New Client Form

New Client Form

New Client Form

New Client Form

Welcome to Gully Animal Hospital! Thank you for giving us the opportunity to care for your pet! So we may provide you with exceptional service, please share a little information about you and your pet(s). Our mission is to provide the most compassionate medical care for your pets.
REGISTRATION
May we email you reminders about your pets?

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PET HEALTH HISTORY
Pet #1
Species:
Sex:
Spay/Neuter:
Microchipped?
Does your pet have any allergies, special medications, or health problems we should know about?
Does you have pet insurance on this pet?
Pet #2
Species:
Sex:
Spay/Neuter:
Microchipped?
Does your pet have any allergies, special medications, or health problems we should know about?
Does you have pet insurance on this pet?
Pet #3
Species:
Sex:
Spay/Neuter:
Microchipped?
Does your pet have any allergies, special medications, or health problems we should know about?
Does you have pet insurance on this pet?

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How did you hear about us?
AUTHORIZATION
**To aid in preventing the spread of infectious diseases, all patients staying in our hospital must be current on ALL vaccinations and free of internal and external parasites.

I hereby authorize the veterinarian to examine, prescribe for, or treat the described pet(s). I assume responsibility for all charges incurred in the care of this animal. I understand that these charges must be paid at the time of release and a deposit may be required for surgical or hospitalization treatments. We accept all major credit cards, cash, check and Care Credit.

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FAQs
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Contact Information

Office Address:
2942 W Camp Wisdom Road,
Grand Prairie, TX 75052

Phone: 214-412-2462
Fax: 214-412-2115
Email: SEND EMAIL
Connect:
​​​​​​​​​​ EMERGENCY SERVICES CLINICS

Hours of Operation

Monday: 7:00AM - 8:00PM
Tuesday: 7:00AM - 8:00PM
Wednesday: 7:00AM - 8:00PM
Thursday: 7:00AM - 8:00PM
Friday: 7:00AM - 8:00PM
Saturday: 7:00AM - 4:00PM
Sunday: Closed

Contact Us

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New Client Promo

25% off the exam fee for new clients only!

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GULLY ANIMAL HOSPITAL GRAND PRAIRE

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