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New Patient Form

We are so pleased that you will be joining our veterinary family. Please take a few moments to fill out our New Client Form using one of the options below if your pet is a new patient at La Pine Animal Hospital.

Option 1

Complete Online

Complete and submit the online form below.

Option 2

Complete on Arrival

If you prefer, fill out the form when you get to our hospital.

New Client Form

Owner Information

Emergency Contact

Patient Information

Primary Veterinarian Information

Please fill this section in if we are not your primary care veterinary hospital. By listing your primary care veterinarian, you are authorizing La Pine Animal Hospital to release patient information to the primary care hospital or veterinarian.
By submitting this form, I hereby authorize La Pine Animal Hospital to render medical care for my pet(s) as deemed necessary by the veterinarian. I understand that no guarantee can be given to the outcome of treatments and take it as my responsibility to comprehend any risks involved. I agree to pay for the cost of all services to which I consent to by written or verbal estimate. I understand that a deposit is required before diagnostics and treatments can be initiated and that payment in full is required prior to discharge of patient from La Pine Animal Hospital.

New Patients Welcome

We are accepting new patients to our La Pine vet clinic. Our experienced vets are passionate about the health of all pets in Central Oregon. Get in touch today to book your pet's first appointment.

Contact Us

(541) 536-2001 Contact