Downloadable Online Forms

Forms available to download and print at home:

New Client Form	For all clients to fill out before their first visit at Welborn Pet Hospital
Surgery Consent Form	To be filled out before any surgical procedure or procedure requiring the use of anesthesia
Dental Consent Form	To be filled out before a dental procedure is performed

The New Client Form is available to fill out and submit online. Valid state issued photo identification is required to be presented by all new clients. All clients must be 18 years of age or older.

NEW CLIENT FORM
First Name:		Last Name:
Co-Owner First Name:		Co-Owner Last Name:
Address:
City/State/Zip:
1st Phone Number:
2nd Phone Number:
3rd Phone Number:
Email address: Providing your email address with us will activate your free Pet Portal, which can be used to provide you with online access to many tools. These tools will allow you to view your pet's service reminders, manage medications, communicate with us online, and more! Click here to learn more about Pet Portals.
PET 1 INFO		PET 2 INFO
Name:		Name:
Species:		Species:
Sex:		Sex:
Breed:		Breed:
Description/Color:		Description/Color:
Age:		Age:
Prior Vaccinations:		Prior Vaccinations:
Prior Illnesses/Surgery:		Prior Illnesses/Surgery:
Authorization / Financial Agreement
I hereby authorize the veterinarians at Welborn Pet Hospital to examine and prescribe for the above pet(s) and any new pets I present under this account. I agree to assume responsibility for all charges incurred in the care of this/these animal(s). I understand that all of the charges incurred in the treatment of my pet will be paid in full at the time of discharge. Welborn Pet Hospital accepts Cash, Check, Visa, MasterCard, Discover, and Care Credit. Care Credit applications are available at this office upon request. Welborn Pet Hospital does not bill. I also understand that an estimate of the fees for veterinary services can be provided to me, and that I am encouraged to discuss all fees related to such care before services are rendered, and during my pet's ongoing medical treatment. In some cases, a deposit may be required before treatment is provided. As of January 1, 2005, upon completion of this form, all clients are required to present a valid form of state issued photo identification to be copied and kept in your file. We do not accept pre or post-dated checks. By clicking "submit" you agree to the above terms.