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(253) 475-5301
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location
COVID-19 Updates
Today: 8:00 am - 6:00 pm
Open Hours
(253) 475-5301
Phone Number
3511 6th Avenue
Tacoma, WA, 98406
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Pet Corner
New Patient Form
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New Patient Form
Fill out the fields below and we’ll get back to you.
Your Name (Last)
*
Your Name (First)
*
Your Email
*
Mobile Phone Number
*
Alternate Phone Number
Street Address
Mailing Address
*
Occupation
*
Employer
*
Other Authorized Caretaker Name (Last)
Other Authorized Caretaker Name (First)
Email
Mobile Phone Number
Alternate Phone Number
Occupation
Employer
Pet's Name
*
Species
*
Dog
Cat
Breed
*
Color
*
Birthdate (if known)
Age
*
Sex
*
Male
Female
Spayed / Neutered
*
Yes
No
Microchipped
*
Yes
No
Microchip Number
How did you hear about us?
*
Friend
Family
Employee
Social Media
Google Search
Other
Do you give us permission to take photos of your pet?
*
Yes
No
If yes, can we use them on our social media sites?
*
Yes
No
Payment is due at the time of service. A deposit will be required for patients that are admitted to the clinic for diagnostic tests or treatment. You may pay by cash, VISA, Discover or MasterCard, CareCredit, or debit card. We do not take payment by checks. In order to avoid misunderstanding about fees or payment, if you have any questions, discuss any concerns with a staff member before services are performed. I am the owner, or authorized agent of the owner(s), and authorized to unilaterally make any and all treatment and financial decisions on behalf of the pet and any owner(s)
Signature & Date
*
