Please fill out our New Patient Form using one of the options below if your pet is a new patient at Western Veterinary Hospital.

Option 1

Complete Online

Complete and submit the online form below.

Option 2

Print & Complete

Bring the completed form with you to our hospital.

Download Form

Option 3

Complete on Arrival

If you prefer, fill out the form when you get to our hospital.

New Patient Registration Form

Owner Information

Pet #1 Information

Pet #2 Information

Pet #3 Information


ALL PAYMENTS ARE DUE AT THE TIME OF SERVICES ARE RENDERED

We accept cash, all major credit cards, pet insurance and care credit which can be approved in as little as 10 minutes. If a payment plan is approved in an emergency situation, the DUE DATE for all statements is the
25th day of the month the services were performed. A service charge of 0.096% will be applied monthly for balances that are not paid within 60 days.
By submitting the above form, I confirm that I have read an understood the above statements and agree to all terms therein.