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Home
About Us
Services
Resources
Library
Video Library
Book Appointment

We are AAHA certified!

Online Form

New Client Form

Save time during your next appointment! Please fill out our New Client Form online from any device at any time before your visit.

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Online Form

New Client Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pet’s before your visit.

OR

You may use the PDF version by clicking the download form button and then completing the printed form by hand. Please bring the completed PDF form with you for your pet’s first appointment.

Download Form

Date

Adult Owner’s Name *

First

Middle

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Home Phone *

Owners Cell Phone

E-Mail Address: *

Employer

Work Phone

What method of payment will you be using to pay your bill today? *

Check
Cash
M/C or Visa
Discover

Additional Responsible Adult Name

First

Middle

Last

Relationship to Owner:

Spouse ⁭
Partner ⁭
Child over 18 yrs.
Other

Other

Additional Responsible Adult Employer

Additional Responsible Adult Work Phone

Phone/Fax/Cell #

Please list all authorized adults over the age of 18 yrs that are allowed to make medical and financial decisions for your pets:

Name

Relationship

Name

Relationship

Pet Information

Pet's Name *

Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

What kinds of pets do you own and how many?

What kinds of pets do you own?

Dogs
Reptiles
Ferrets
Rats
Mice
Birds
Cats
Rabbits
Hamsters
Gerbils
Other

How many dogs? *

How many cats? *

How many Reptiles? *

How many Ferrets? *

How many Rats? *

How many Mice? *

How many Birds? *

How many Rabbits? *

How many Hamsters? *

How many Gerbils? *

Other *

Are you new to the Ozaukee area? *

Yes
No

If yes, from where? *

How is it best to contact you for reminders about your pet’s needs? *

Mail
Phone
Fax
Email

May we post digital pictures of your pets on our website? *

Yes
No

How much time do you spend on the internet? *

Daily
Weekly
Monthly
Never

How did you hear about Best Friends Veterinary Center? *

Yellow Pages
Drive By
Newspaper Ad
News from New Friends
Referral

From Whom? *

Referral (Whom may we thank)? *

Ready to visit?

book an Appointment

We proudly serve the pets of Grafton, Cedarburg, Port Washington, Saukville, Mequon, Thiensville, West Bend, and beyond. We look forward to seeing you and your pet soon. Book an appointment by clicking the button below.

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