New Clients

Thank you for considering our hospital as your pet’s provider of veterinary services. We are dedicated to maintaining the health of your pet and look forward to many future years together.

New Client Form

Name(Required)







Co-Owner's Name







Address(Required)


















Name







Pet's Information

Pet's Name




Type



Sex


Altered


Is your pet current on it's Rabies Vaccine?


Do you want to add another pet?


Pet's Name




Type



Sex


Altered


Is your pet current on it's Rabies Vaccine?


How did you hear about us?






How would you like to receive reminders?



Media Release


I authorize any of my pet’s pictures taken by West Eugene Animal Hospital Staff to be used on their internet
sites (including social media) and for publicity printing purposes