NEW CLIENT & PET INFORMATION FORM
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Fill out the form with your pet information.

CLIENT INFORMATION:


Cell Home
Cell Home
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Yes No
Phone Text Message Email

PET INFORMATION:

Dog Cat Other
Male Female
Yes No
Yes No

In the last 12 months, has your Pet had:

Yes No
Yes No
Yes No

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 & 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 Care Credit 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 will indicate that you have read and accepted our financial policy:

I agree on all terms stated on this form.

Willowbrook Veterinary Hospital, Washington County’s premiere full service animal hospital, is conveniently located in Tigard, Oregon.

Phone Number

(503) 966-9873


Location

11545 SW Durham Rd. Suite B-10,
Tigard, OR 97224


Hours

Monday - Friday: 8am-6pm
Saturday: 9am -12pm     |     Sunday: Closed

Hospital Affiliation

We Accept

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