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  • New Client Information Form

    Thank you for choosing Westchase Veterinary for your pets' care. Please take a few minutes to fill out the following information.
  • Appointment Information

    Please note, if you have more than one appointment scheduled, please select your first appointment.
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  • Client Contact Information

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  • Please Note:

    If selecting text as your preferred method of contact, you agree to receive messages at the number(s) provided. Frequency may vary and standard message/data rates do apply. You can opt out by texting STOP at any time.
  • Emergency Contact Information

    In the event owe needed to reach you but were unable, who would you like us to contact (other than the owners).
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  • Referral Information


  • Pet Information

    Please tell us about the pets currently residing in your household.

  • Pet Information

    Please tell us about the pets currently residing in your household.

  • Pet Information

    Please tell us about the pets currently residing in your household.

  • Pet Information

    Please tell us about the pets currently residing in your household.

  • Pet Information

    Please tell us about the pets currently residing in your household.

  • Financial Policy

    Our policy is to provide you with a written estimate of fees recommended for in-clinic treatment, emergency care, surgery, and/or hospitalization. A deposit will be required prior to any treatment and/or for all pets requiring overnight care or hospitalization.
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  • Financial Policy

    Our policy is to provide you with a written estimate of fees recommended for in-clinic treatment, emergency care, surgery, and/or hospitalization. A deposit will be required prior to any treatment and/or for all pets requiring overnight care or hospitalization.
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  • Agreement of Policies

    I have read and understand the above policies and request treatment for my pet in accordance with these policies. I assume financial responsibility for all charges incurred to the patient (pet), and agree to pay all costs of collection and/or fees in the event of non-payment.
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