Client Information - Oakwood Hills Animal Hospital

New Patient & Client Information

For all of your pets needs, count on the reliable team of veterinarians at Oakwood Hills Animal Hospital. Give us a call at (715) 835-0112 to find out how we can help you!

New Client Form

If you would like to make an appointment, you can expedite your check in by submitting the form below.

Thank you for choosing Oakwood Hills Animal Hospital as your pet’s source of health and wellbeing.

Primary Phone Number

Phone Type

Cell Work Home

Secondary Individual First Name

Secondary Individual Last Name

Secondary Individual's Phone Number

Secondary Phone Type

Cell Work Home

Age or Date of Birth

Type of Pet

Cat Dog Other

Sex

Male Female Unknown

Neutered/Spayed

Neutered Spayed Neither Unknown

Does Your Pet Have Any Previous Medical Records?

Yes No

We require previous records be on your account before an appointment can be scheduled. How would you like records to be received?

Please send records to our email, info@oakwoodhillsanimalhospital.com, or text them to 715-718-3662.

Please List the Name & Phone Number of Your Previous Veterinarian

Reason for Your Visit (ie. Annual Exam, Concern Appointment, Urgent/Emergency Care:

Describe in a few sentences how previous vet visits have gone for your pet in the past 2-3 years.

What steps, including the use of pheromone products (such as Adaptil or Feliway) or Fear Free medications (such as Gabapentin or Trazodone), have you tried to help make your pet’s visits more successful? (Put None if this question does not apply.)

Would you be interested in receiving a link to an article regarding Fear Free vet visits?

Yes No

I Authorize My Pet's Medical Records to be Released to Any Veterinary Related Business:

Yes No

Do We Have Your Permission to Use Your New Pet's Picture on Our Social Media Sites?

Yes No

**Please complete a separate form for each pet.

I hereby authorize the veterinarian to examine, prescribe for, or treat the above described pet. I assume responsibility for all charges incurred in the care of the animal. I also understand that ALL FEES ARE DUE AT THE COMPLETION OF EACH VISIT. In cases of extensive medical or surgical procedures where full payment may be difficult at discharge, we accept major credit cards and Care Credit. There will be a service charge for any check returned unpaid.

*If you are not familiar with Care Credit, please ask us for details.

Client Electronic Signature

I agree to receive marketing offers and updates via your preferred/primary email. (You'll still receive services and account related emails if you do not check the box.)

Yes No

I agree to receive recurring automated messages about pet care, appointment reminders, and other communications from your veterinary clinic. (Your consent is not required, and you may opt out at any time by replying STOP. Msg & data rates may apply. Message frequency may vary.)

Yes No

As your pet ages, differences can be subtle. Although senior pets have special needs, you can help make sure they stay healthy by paying attention to their day-to-day habits and activities. This form will help you monitor your senior pet's health and keep track of any changes. Bring it with you to your pet's next veterinary appointment to make sure your pet gets the best possible care!

Please complete the following questionnaire:

Age (In Actual Years)

Please list all medications and supplements your pet currently is taking:

Please note any changes to your pet's health:

Has your pet gained or lost weight?

Does your pet have bad breath?

Yes, Frequently Yes, Occasionally No

Has your pet's stool changed?

Have your pet's urination habits changed?

Is your pet interacting normally?

No Change Occasional Isolation Frequent Isolation Needs Constant Attention

Is your pet grooming normally?

No Change Grooming more Grooming less Not grooming at all

How is your pet's skin and coat?

Please note any changes to your pet's behavior or habits.

Sociability