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frontdesk@latahcreekah.com
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New Pets

We look forward to seeing you soon!

Get Started

Thank you for choosing Latah Creek Animal Hospital

Please use the form below to register a new pet. If you need immediate assistance, please call us directly during business hours at 509-462-7387. If you are a new client, please use our new client form to be registered in our system. If you have multiple pets, please fill out the following form for each individual pet.

Owner's Name *

First

Last

Email *

Pet Information

Pet's Name *

Sex *

Male
Female

Neutered/Spayed? *

Yes
No

Species & Breed *

Color *

Birthdate or Age *

Current Medications

Please upload records at the bottom of this form, if unable to upload please bring with you to your first appointment.

Previous Veterinary Clinic (Please put NA if no previous clinic) *

Previous Vet’s Phone Number

Diet and Environment

What food does your pet currently eat? *

Amount & Frequency? *

What made you choose this food? *

Are you happy with this food? *

Is your pet on any dietary supplements *

Yes
No

If so, what kind and what dosage? *

Does your pet consume table food? *

Yes
No

Please explain *

Is your pet primarily indoor or outdoor? *

Indoor
Outdoor

Are there any other animals in the household? *

Yes
No

Please describe *

Do you have your pet groomed or boarded outside of your home? *

Yes
No

If so, how often? *

Do you travel outside of Washington with your pet? *

Yes
No

If so, where? *

Past History

Has your pet had any prior illnesses, accidents, or surgeries *

Yes
No
Unknown

Please explain.

Is your pet aggressive or fearful around strangers? *

Yes
No
Unknown

Please explain. *

Is your pet on heartworm, flea/tick preventatives? *

Yes
No

How frequently? *

Year-Round
Seasonally

Please list any other medications or supplements your pet receives.

Does your pet have any known allergies to any medications? *

Yes
No
Unknown

If yes, please list: *

Has your pet ever had a reaction to any vaccines? *

Yes
No

If yes, please list and explain: *

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 this animal. *