New Client Information Form

Resources

New Client Information Form

Please fill out the New Client Information Form online, but if you prefer a printable copy use the link provided.

PRINTABLE New Client Information Form
Download Form

New to Animal Care Clinic? If you have already scheduled your pet’s first appointment, you may fill out your new client information form online to save time at check in. Please do not fill out the online information form until you have scheduled your first appointment.

Upon submission you should receive a confirmation email. If you do not receive an email, please contact us at 503.682.1794 to confirm that your new client information form was received. Thank you!

Please fill out this form in its entirety for submission. If a field is not applicable please mark it as such, or type N/A.

Owner Information

First Name

Last Name

Phone

Spouse's Name

Significant Other's Name

Home Address

City

State

Postal Code

Cell Phone

Home Phone

Spouse's/Significant Other's Phone

Place of Employment

Work Phone

How did you become aware of our clinic?

Personal Recommendation (whom may we thank)?

Permission to use your pet's photo for Social Media (yes or no)?

Resources

Animal Care Clinic

29020 Town Center Loop E, Suite 102

Wilsonville, Oregon 97070

For general information, questions, appointment requests, call us at:

Phone number: 503-682-1794

Fax number: 503-682-2174

For after-hour emergencies, call Emergency Clinic of Tualatin at: 503-691-7922

We're available for dog and cat boarding. Call us for more information.

Hours

Monday 8:00am - 6:00pm

Tuesday 8:00am - 7:00pm

Wednesday 8:00am - 6:00pm

Thursday 8:00am - 7:00pm

Friday 8:00am - 6:00pm

Saturday 8:30am - 3:00pm

Sunday Closed