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New Client Form

Please fill out and submit prior to making an appointment

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

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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

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Hillsboro Veterinary Clinic

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