New Clients

Thank you for considering Highline Veterinary Hospital for your pet’s needs!

Welcome new clients.

Please fill out our new client registration form in its entirety to ensure we can provide you and your pet with the best possible care. Please Note: Any fields with * are required.

Name *

First

Last

Email *

Primary Phone *

Secondary Phone

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Who else is authorized to make decisions about your pet's healthcare? *

First

Last

Phone

How did you find out about our hospital? If you were referred by someone, who should we thank? *

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

Yes
No
Unknown

If being admitted into the hospital, we cannot begin the care of your pet until you have confirmed your desire to do so by completing the forms applicable to your visit and fulfilling payment as specified. *

I have read and accept the financial policy.

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New Clients

Welcome new clients.

Your other family doctor.

Contact us today!

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