Get Client Registration Form

Completing the Client Registration Form online ensures a smooth and efficient process for your pet's care. This guide will walk you through each section of the form, providing clear instructions to help you submit your information accurately.

Follow the steps to complete your registration form effortlessly.

1. Press the ‘Get Form’ button to obtain the Client Registration Form and open it in your preferred online editor.
2. Begin by entering the owner's name in the designated field. This information is vital for identifying the responsible party for the pet.
3. Input the driver's license number under the D.L. #: section. This may be used for identification verification.
4. Fill out the address section with the owner's complete residential address. Ensure accuracy for any communications.
5. Provide the best contact phone number in the ‘Best Phone’ section. You may also include an alternative phone number in the Phone 1: section, if applicable.
6. Enter a valid email address in the E-Mail Address field, which will facilitate electronic communication.
7. List the owner's employer in the Employer: section. This information may not be mandatory, but is helpful for record-keeping.
8. If applicable, input the referring veterinarian's name along with the clinic phone number and name in the designated fields.
9. Provide information about the patient by filling in the patient's name, selecting the type of animal (canine or feline), and entering the date of birth (DOB).
10. Fill out the breed, age, color & markings fields, and specify the pet’s sex and neuter/spay status.
11. Complete the medical history section including vaccination status, housing details, activity level, appetite level, and water intake, selecting the most appropriate options.
12. Indicate the type of diet by filling in the type of food and brand, and check any observed symptoms your pet may be experiencing.
13. Answer questions regarding the patient's exposure to sick animals, any trauma experienced, and travel outside the area.
14. Write a brief statement detailing the current medical problem(s) your pet is experiencing.
15. Review the authorization section carefully, then provide your signature as the owner or responsible agent along with the date.
16. Once all sections are completed, save your changes. You may also choose to download, print, or share the completed form as needed.

Complete your Client Registration Form online today to ensure a seamless experience for your pet's visit.