• Client Information Form

    (to be completed by new clients, clients with new pets or clients with change of contact information)
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  • Thank you for choosing Eastside Animal Hospital for your pet’s healthcare needs.  In order to maintain the health of our practice fees are due at the time services are rendered.  We will gladly prepare a treatment plan once your pet’s needs have been determined.  We accept major credit cards and Care Credit.  Returned checks and unpaid balances are subject to service charges. 

  • Contact, Records and Risk Info

    • We may contact you via e-mail
    • Share your pet’s vaccination information with other boarding or grooming facilities and veterinary facilities
    • Use photos of you and your pet(s) for medical record, marketing, or other educational purposes
    • You understand that there may be risk involved in any procedure and no guarantee is made as to the results or outcome.
  • Patient Information

  • We want what is best for your pets. For continuity of care and for vaccination verification, please bring your pets previous records with you to your appointment. If it is easier, you may fax or email the records to us prior to your appointment. 

    Fax: 812-282-8906

    Email: records@eastsideanimal.com

  • PET NUMBER 1

  • PET NUMBER 2

  • PET NUMBER 3

  • Should be Empty: