Paws, Claws & Hooves Veterinary Center

New Client Form

Save time during your next appointment! Please complete your required new client form online from any device at any time before your visit.

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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? *

Preferred reminder communication method (check all that apply)

Email
Postcard
Text

Pet Information

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Color *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have allergies? *

Has your pet had a reaction to vaccines or medications? If yes, What? *

List any major surgeries your pet has had: *

List any behavioral problems we need to be aware of: *

List any foods and treats you give your pet: *

Previous Veterinarian: *

Do you travel outside of our area with your pet? If so, where? *

Method of Payment

Payment is required at the time of service. For your convenience, we accept Cash, MasterCard, Visa, American Express, Discover, Care Credit (with valid driver’s license or Social Security Number), and Check (with valid driver’s license) Please check one: *

Cash
Debit/ Credit/ CareCredit
Check

(In the event your check is returned for insufficient funds, you will be charged a $35.00 fee)

Social Security #

Driver's License #

*You will be asked to sign an estimate of cost confirming authorization of treatment after the doctor’s exam. The details of treatment, the risks of treatment, and/or the risk of not treating will be explained to you* *

I have read and accept the financial policy.

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Caring For All Animals in West Richland, WA

Work with Paws, Claws and Hooves Veterinary Center to treat your pets and large animals. Gain some peace of mind knowing that the health of your animals is in good hands. We proudly serve West Richland, Richland, Pasco, Kennewick, Benton City, and surrounding communities.

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