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Westridge Pet Hospital & Wellness Center New Client Form
 
 

Welcome to Westridge Pet Hospital and Wellness Center! We are very pleased to have you as a client. We realize that there are many great veterinary hospitals to choose from, and we will do all we can to serve you and your pet. To make your first visit a pleasant experience, here are some tips to assist you.

  • Call for an appointment, or fill out our Appointment Request Form. We schedule appointments only to ensure you and your pet receives the best service. Our phone number is (210) 651-4236. We appreciate 24 hour advance notice should you need to reschedule an appointment.  If your pet has an urgent problem that needs to be seen immediately, we will make every effort see your pet as promptly as possible.
  • Please arrive 10 minutes early for your first appointment. This will give our client service team time to complete your registration and maximize your time in the exam room with our doctors.
  • If possible, please fill out the New Client Information Form below in advance. This will save you filling it out by hand in our waiting area.
  • If your pet has received medical care at another hospital, please have the previous veterinarian fax a copy of his or her medical records so that we may review them in advance. Our fax number is 210-651-4238.
    Payment is expected on the day services are provided. We accept cash, VISA, MasterCard, Discover Card, American Express and CareCredit. If you are interested in CareCredit as a financial option, we can assist you in applying for a line of credit during your visit, or you can click here to apply online. If you have concerns about your charges, please request an estimate prior to receiving services. We will be happy to provide you with one.

New Client Information Form

To ensure the best care possible for your pet, please take the time to complete this form so we have as much information as possible. When done, click submit to send the form information to us.
   
Your Name
Please be prepared to show a photo id to verify identification at your initial visit.
Street Address
City, State, Zip
Home Phone

Work Phone

Mobile Phone
E-mail
Spouse/Partner Name
Emergency Contact:  
Emergency Contact Name
(if other than spouse)
Emergency Conact's Relation to You
Emergency Contact's Phone
Is this person authorized to make decisions about your pet’s health?  
Were you referred to Westridge by one of our clients?
# of Pets in Your Household
Pet Information:  
Pet Name
Species Dog     Cat    
Breed
Sex Male     Female
Date of Birth
Neutered/Spayed? Yes       No
Microchipped?
Please describe your pet's daily diet
Pet Health History:  
Does your pet have any known allergies?
Can you provide us with your pet's vaccination history?
Please tell us what (if any) medications your pet is currently taking
Please check any symptoms or problems that you have noticed about your pet recently
Behavior Problems
Bleeding Gums
Breathing Problems
Coughing
Diarrhea
Eye bulging or bloodshot
Gagging
Lack of Appetite
Lethargic Behavior
Limping
Loss of Balance
Scooting
Scratching Excessively
Shaking Excessively
Sneezing
Thirst and/or Urination Increase
Vomiting
Weakness
Please tell us the reason for your visit
   
When you are finished, click submit to send the form information
 
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