New Client Form

Owner's Information:

* Indicates required field

Owner Name *

First

Last

Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Spouse's Name (or Co-Owner) *

First

Last

Phone Number *

How did you find out about our practice? *

Clinic Location Personal Refferal Internet Search Other

If other please specify: *

If referred, who can we thank? *

Pet's Information:

Pet's Name *

Date of Birth or Age (if known) *

Spayed/Neutered/Gender *

Breed (if known) *

Color/Markings or Identification *

Vaccination History *

Species *

If other please specify: *

Medical History *

Current Medications *

Concerns *

Diet *

Submit

Hours of Operation

Monday 7:30am – 7:00pm
Tuesday 7:30am – 5:00pm
Wednesday 7:30am – 7:00pm
Thursday 7:30am – 5:00pm
Friday 7:30am – 7:00pm
Saturday 8:00am – 12:00pm
Sunday Closed

We have a doctor on call every evening until 10 pm. In case of an after hours emergency please contact Willamette Veterinary Hospital (541-753-2223) or Rivers Edge Pet Medical Center (541-924-1700)

Photos copyright of Cassidy Field Photography

Our Location

Take Our Survey

Refer a Friend

Contact Us
Phone: 541-928-8341
Fax: 541-928-5371
reidvethospital@comcast.net

Address
933 SW Queen Ave.
Albany, Oregon, 97321

Click Here for Directions

See your pet on
Petly – As your pet's personal health page, Petly is a special
place for you and your pet. You're just one click away! – GO
TO PETLY

Site powered by Weebly. Managed by IDEXX Laboratories

welcome

New Client Form