Helpful Forms For Your Visit With Us

These client forms apply to all of our locations. Instead of filling them out when you come in for your appointment, fill them out online here! Though we love having you here, we know forms are tedious and time-consuming. Online forms help us streamline your information while saving you time in the clinic.

Click on the forms you need below and have at it!

Client Forms For At-Home Convenience: Front Desk Reviews Forms

New Client Form

Registration

Can We Send You Text Messages for Appointments/Service Reminders, Prescription Pick-Ups and Pet Updates?
Owner's Name
Owner's Name
First
Last
Spouse/Other Name
Spouse/Other Name
First
Last
Address
Address
City
State/Province
Zip/Postal
Employer's Address
Employer's Address
City
State/Province
Zip/Postal
When Would You Like to Schedule an Appointment?

Pet Health History

Type of Animal
Sex

Vaccination History (Date and Type of Last Vaccinations)

Please check any symptoms or problems that you have noticed about your pet.

Authorization

I hereby authorize the veterinarian to examine, prescribe for, or treat the above described pet. I assume responsibility for all charges incurred in the care of this animal. I understand that these charges must be paid at the time of release and that a deposit may be required for surgical treatment.

Photo/ Audio/ Video Consent

I permit Island Animal Hospital, to record, own, publish, and republish information about me/my property and reproductions of my likeness and my voice for educational, marketing, and publicity purposes through any media.

I acknowledge that the pictures or recordings taken on this date then become the sole and exclusive property of Island Animal Hospital.

I release Island Animal Hospital from any and all claims that might arise from the use of these images and recordings.

Name
Name
First
Last
Address
Address
City
State/Province
Zip/Postal
I agree to the above terms and conditions.

If subject is under 18 years old, a parent or legal guardian must write the minor’s name as the subject and grant permission by signing on the appropriate line.