New Client Form

Thank you for selecting Woodinville Veterinary Hospital & Urgent Care Services.

We welcome the opportunity to provide the best care possible for your pet. Please help us meet your needs better by taking a moment to complete this information sheet.

You can expect a friendly reception from our warm and welcoming staff as well as excellent care from our medical team. Our facility is clean, comfortable, and designed with pets – and pet parents – in mind.

Wait Times: If you and your pet have an appointment, you’ll be seen shortly after your scheduled time. Please note that, although we do our best to get clients in and out as quickly as possible, critical patients who are experiencing an emergency take precedent over wellness visits.

If you have any questions, call us at 425-481-1184. We look forward to meeting you and your best friend!

Client Information

Phone

Add additional phone numbers as needed.
All fees are to be paid when services are rendered, or upon release of the patient from the hospital.

Pet Information

Vaccine History

Please provide the date of your pet's most recent vaccine.

Health History & Information

Type and brand of food, quantity, serving times, treats or chews, and any other information.

Acknowledgement & Authorization

You can terminate treatment at any time by contacting the doctors and assistants.
Our clicic and team are leaders and teachers in the veterinary medicine field; thus, case information and/or photos may be used in teaching, forms, continuing education, as well as our website and social media, veterinary literature, and the like.
Upon request, Woodinville Veterinary Hospital will gladly prepare a written estimates for any treatment plan your pet may need during their visit with us. This is important for you to read and sign as ALL PROFESSIONAL FEES ARE DUE AT THE TIME SERVICES ARE RENDERED. In the case of extensive medical or surgical procedures, we understand full payment may be difficult. In these cases, we accept most major credit cards, Care Credit and ScratchPay. Applied fees will be reimbursed by the pet insurance company to you, directly, if your pet is covered. Please note there is a $25.00 service charge for any check returned unpaid. We do not extend credit. To prevent the spread of infectious diseases, all hospitalized and boarding animals must be current on their yearly exams, all vaccines or titer tests and be free from internal and external parasites. The signature below authorizes this level of care and the appropriate charges will be assessed in the discharge invoice. If you have any questions, please feel free to reach out to us! Once we receive all of this information we can set up a visit for you!
Clear Signature
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