Primary Phone Type
Secondary Phone type
May we contact you via text message (SMS)?
May we contact you at work?
What is your preferred way of being contacted?
Is there someone else who is authorized to make decisions for your pet?
Pet Information
Male Female Has your pet been spayed / neutered?
Does your pet have a microchip identification?
A complete physical examination?
Regular vaccinations?
Do you have health insurance for your Pet?

Willowbrook Veterinary Hospital advocates the use of pet health insurance. We can assist you with preparing, filing, and sending claim forms in order to expedite your reimbursement.

FINANCIAL POLICY: Payment is due in full at the time that services are performed. If being admitted into the hospital, we cannot begin the care of your pet until you have confirmed your desire to do so by 1) signing the client consent and estimate form, and 2) leaving an initial deposit of 50% of the upper end of the estimate. This is the only way that we have of knowing for certain that you want us to proceed with the care of your pet. We accept cash, Visa, Mastercard, American Express, Discover, and CareCredit payments. We do not accept checks unless prior arrangements are made with the hospital manager and/or owner. There is a $50 fee for checks that are drawn against an account with insufficient funds. We neither extend credit, nor bill for services. All open invoices are sent to collections after 45 days unless prior arrangements are made. If you check the following space, this will indicate that you have read and accepted our financial policy: