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Forms

New Client Form (downloadable)

If you are a new client, please take a moment to fill out the form below, or download it, fill it out, and bring it with you on your first visit to our hospital. (Requires Adobe Reader software to view; if you do not have this program on your computer, click here to download it.)

  • Thank you for giving the Bothell Pet Hospital the opportunity to care for your pet(s). So that we may become better acquainted, please complete the following:
  • Client Information

  • All fees are due at the time services are rendered.
  • Patient Information
  • PET'S NAMEBREEDAGE / DATE OF BIRTHCOLOR / MARKINGSSEX; SPAYED OR NEUTERED?DOG: VACCINATION HISTORY RABIES 
    Add a new row
  • DHPPCBORDETELLACAT: VACCINATION HISTORY RABIESFVRCPFELINE LEUKEMIA TESTFELINE LEUKEMIA VACCINEBIRD: VACCINATION HISTORYFERRET: VACCINATION HISTORY 
    Add a new row
  • PET'S NAMEBREEDAGE / DATE OF BIRTHCOLOR / MARKINGSSEX; SPAYED OR NEUTERED?DOG: VACCINATION HISTORY RABIES 
    Add a new row
  • DHPPCBORDETELLACAT: VACCINATION HISTORY RABIESFVRCPFELINE LEUKEMIA TESTFELINE LEUKEMIA VACCINEBIRD: VACCINATION HISTORYFERRET: VACCINATION HISTORY 
    Add a new row
  • PET'S NAMEBREEDAGE / DATE OF BIRTHCOLOR / MARKINGSSEX; SPAYED OR NEUTERED?DOG: VACCINATION HISTORY RABIES 
    Add a new row
  • DHPPCBORDETELLACAT: VACCINATION HISTORY RABIESFVRCPFELINE LEUKEMIA TESTFELINE LEUKEMIA VACCINEBIRD: VACCINATION HISTORYFERRET: VACCINATION HISTORY 
    Add a new row
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