New Client

Home
About
- Staff
- Hospital Tour
Services
Client Center
Contact
Online Store

New Client Form

Please fill out and submit prior to making an appointment

You may choose to upload the written form of the application instead of the online application. Simply download and complete the form below.

* Indicates required field

Upload File *

Max file size: 20MB

Submit

np_form2020.pdf
File Size:	407 kb
File Type:	pdf

Download File

Owner Information

Pet Information

* Indicates required field

Owner name *

First

Last

Pets name *

Any Authorized Guardian *

Species *

Cat Dog

Are you the legal owner(s) of the animal(s) *

Yes No

Breed *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Color markings *

Date of birth or age *

Sex *

Male Female

Primary Phone *

Secondary Phone *

Spay or neutered? *

Yes No

Email *

Name of Previous Vet? *

How did you become aware of our clinic? *

Website Advertisement Facebook Google Referral Other

Do you have a second pet? *

Yes No

If yes, please fill out another form after submitting first form.

Submit

our practice

Hillsboro Veterinary Clinic
142 S.W. Baseline St.
Hillsboro, OR 97123
Phone: (503) 648-4117
Email: hillsboroveterinary@gmail.com

Request Appointment

helpful resources

About Us
Contact Us
Client Center
Emergency Information

hours of operation

Monday 8:00am — 6:00pm
Tuesday 8:00am — 6:00pm
Wednesday 8:00am — 6:00pm
Thursday 8:00am — 6:00pm
Friday 8:00am — 6:00pm
Saturday Closed
Sunday Closed

Refer a Friend

Hillsboro Veterinary Clinic

Created by Ms. Morri Illustrations
Site powered by Weebly. Managed by IDEXX Laboratories

Home
About
- Staff
- Hospital Tour
Services
Client Center
Contact
Online Store