OnlyPaws Client Registration & Service Request

Client Registration & Service Request
Welcome to OnlyPaws - Traveling Vet Tech!
Thank you for choosing OnlyPaws!

This quick form helps me learn about you, your pet, and the services you’re interested in. You’ll only see questions that apply to your selections, and everything can be completed electronically.
Client Full Name
Service Address (where pets will be seen)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Text Message Consent
How many pets are you looking to register?
Name
Species
Breed
Sex
Age or DOB
Handling Notes
Medical alerts or special considerations
Allergies
Favorite treats or motivators
Pet 2 - Name
Species
Breed
Sex
Age or DOB
Handling Notes
Medical alerts or special considerations
Allergies
Favorite treats or motivators
Pet 3 - Name
Species
Breed
Sex
Age or DOB
Handling Notes
Medical alerts or special considerations
Allergies
Favorite treats or motivators
Pet 4 - Name
Species
Breed
Sex
Age or DOB
Handling Notes
Medical alerts or special considerations
Allergies
Favorite treats or motivators
Photo & Video Permission (Optional)
Non-Medical Support Services (check all that apply):
Medical Support Drop-In Visits (veterinarian-prescribed)
Veterinary Clinic Name
Veterinary Clinic Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Medical support visits are provided using medications already prescribed by your veterinarian. OnlyPaws does not diagnose, prescribe, or modify treatment plans.
Route of Administration
Medication names
Dosage, frequency, or special instructions
Confirmation
Preferred Veterinary Clinic
Emergency spending limit (optional)
Emergency Authorization
Scheduling Availability

We schedule visits based on travel logistics and service type. Please let us know your general availability so we can schedule your visit as efficiently as possible. Providing multiple options helps us find the best fit.
Which days generally work best for you? (Select all that apply)
Which time windows generally work best? (Select all that apply)
Please list your top 2-3 preferred appointment windows
Example: Monday 9am-11am, Wednesday after 2pm, Saturday morning
Are there any days or times that do NOT work for you?
Before signing your agreement & acknowledgment statement, please take a moment to review the following document:

View OnlyPaws Service Agreement & Care Consent
Client Agreement & Acknowledgment
Client Signature
Should be Empty:

Client Registration & Service Request

Welcome to OnlyPaws - Traveling Vet Tech!

Scheduling Availability