New Client Form

Save time during your next appointment! Complete your required forms online from any device at any time before your visit.

Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit.

After carefully reading the following and completing the form, please check the Authorization box at the end of this form to agree to our terms:

Owner's Name *

First

Last

Mailing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Phone Number *

Pet Name *

Species

Breed *

Age/Date of Birth *

Sex

Spayed/Neutered

Previous Veterinarian

Authorization

I authorize the veterinarian to examine, prescribe for and/or treat my pet(s). I understand that payment is due at the time of service and agree to the terms attached. By signing this form, I agree to pay Otterside Animal Hospital for services rendered and service charges for overdue balances. I agree to pay all collection costs, including collection agency and/or attorney fees.

Email

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