FAQ Contact Reviews
Services Staff Blog
Facility Dog Tips Cat Tips
FAQ Contact Reviews
Services Staff Blog
Facility Dog Tips Cat Tips

New Patient Services

We are delighted to welcome you to our practice. As an AAHA accredited and pet friendly practice, we are also certified by the American Association of Feline Practitioners as a cat friendly practice. We have experienced and knowledgeable staff who continually strive to give the best care in the most compassionate and pet friendly way.

Please fill out the form below to speed the process upon your arrival at our office. We look forward to getting to know you and your pet.

Owner's Name
Spouse's Name
Email
Address
City / ST / Zip

Leave this empty:
Owner's Information
Home Phone
Cell Phone
Employer
Work Phone
Spouse's Information
Home Phone
Cell Phone
Employer
Work Phone
Reason(s) For Visit

Pet Information
Pet's Name Pet's Gender Male  Female
Species Breed
Color Birth Date Age

Other Pets
Name Breed Age
Name Breed Age
Name Breed Age

Medical History -
Please check if your pet has had the following preventive health care services within the last year
 
Cats
Physical Examination
Rabies Vaccination
FVRCP Vaccination
Leukemia Vaccination
FIV Vaccination
Dental Exam/Cleaning
Daily Dental Hygiene
Flea Prevention
FIV/Felv Test
  
Dogs
Physical Examination
Rabies Vaccination
Distemper/Parvo Vaccination
Bordetella Vaccination
LYME Disease Vaccination
Flea Prevention
Internal Parasite Examination
Heartworm Test
Heartworm Preventative
Dental Exam/Cleaning
Daily Dental Hygiene

Is your pet currently receiving any medication? Yes  No
If Yes, What?

How did you become aware of our clinic?
If referred, by whom?
ALL FEES ARE DUE AND PAYABLE UPON COMPLETION OF SERVICES

Payment in full by cash, check or credit card is expected when treatment is performed or animal is discharged. In case of emergency hospitalization, deposit arrangements must be made with the receptionist. On your request, we will provide you with a written estimate of fees before care is provided. All information is confidential and solely used by The Animal Hospital of Waynesville for the patient’s wellness. This information will not be sold for any reason.

By filling out this form and clicking the Submit button you agree to abide by the terms of this agreement.

 

Facebook - medium icon Instagram Twitter - medium icon YouTube - medium icon VetScene - medium icon Cat Friendly - medium icon Appointment - medium icon Pinterest - medium icon
Twitter Instagram YouTube Facebook Pinterest
VetScene Cat Friendly AAHA
Web Design © 2012-15 gfgraphics - Waynesville NC