4501 North Lincoln Avenue
at Sunnyside in Lincoln Square
Chicago, IL 60625

New Client and/or Patient Form

You can download the form here

Client Information

Walk by/Live in the neighborhoodGoogleYelpClientOther

Patient Information

DrySoft

I understand that the hospital staff will provide an estimate of current and anticipated charges any time I request one. I am requesting that veterinary care be provided for pets presented by me or my agents. I understand I am financially responsible for all services provided at the time of my appointment.


We know our patients are the cutest in town and we love to show them off! Your signature below authorizes Jewell
Animal Hospital’s use of your pets’ photos or videos on promotional material and/or social media. You waive your right to compensation or privacy for images used.

Career Opportunities

Our goal is to Provide a

Caring & Flexible

Environment

for our Pets & Owners

Jewell Animal Hospital is

Proud to be Green

Our files are Paperless
and we Recycle!