Westshore Pet Clinic New Client Intake Form Logo
  • New Client Intake Form

    Thank you for choosing Westshore Pet Clinic to care for your beloved four legged friend! Please fill out this Intake and Release Form prior to your first visit.
  • IMPORTANT:

    We do not follow up after receiving this form. If you do not have an appointment scheduled, please call the clinic to schedule your appointment. **Please wait at least 1 hour after submitting form before calling**
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  • In case of emergency...

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  • Pet Information

    All the details on your furry friends!
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  • Please reach out to Westshore Pet Clinic if you have more than 4 pets in your household and we will be happy to collect the information on your other pets to add them to your file.
  • Client Policies and Procedures

    Please read through to be aware of and understand the following policies and procedures for all of our clients.
  • PHOTO RELEASE CONSENT: By signing this document, I confirm that I am over 18 years old. I have read, understood and agree to the terms and conditions of this agreement and that it is my intention to enter into an agreement to waive my rights, including my right to sue, with respect to the use of the recordings and my image as captured in the recordings. I agree to release Westshore Pet Clinic from all claims for libel, slander, invasion of privacy, infringement and copyright or right of publicity or any other claim.

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  • TREATMENT CONSENT: By signing this document, I declare I am the lawful owner of all listed pets and all information is true and correct to the best of my knowledge. I hereby authorize the veterinarian(s) of Westshore Pet Clinic to examine, prescribe for or treat my pet(s) to the best of their abilities. I assume responsibility for all charges incurred in the care of this animal. I acknowledge that medical information will not be released to anyone not indicated on this form without my verbal and/or written consent, with the exception of another veterinary facility.

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