Client Info Form

Welcome, pet parents!

Optimize your pet’s check-in experience by conveniently pre-filling their essentialdetails online ahead of your visit. While our clinic warmly welcomes walk-ins, ourtriage system ensures swift attention to urgent cases. It’s crucial to understand thatpre-filling information doesn’t secure an appointment but expedites check-in uponarrival. As we prioritize urgent, life-threatening cases first, specific consultation timescannot be guaranteed. Patients in stable condition may experience longer wait times.

Download Client Info Form

Date:(Required)

Client/Owner Information

Primary Contact Name:(Required)

Primary Contact Phone:(Required)

Email(Required)

We will not send spam/promotional emails, this is only regarding your pet’s medical records.

Address(Required)

Street Address Address Line 2 City State ZIP Code

Secondary Contact Name:

Secondary Contact Phone:

Pet Information

Pet's Name:(Required)

Breed:(Required)

Age:(Required)

Color:(Required)

Species(Required)

Gender(Required)

If you do not want your pet featured on social media, please let our staff know at the time of check-in.

Owner Signature

By signing below, you agree to the following:

You are 18 years of age or older.

You understand payment is due in full at the time services are rendered.

You understand paying the exam fee of $155 is required for the care of your pet.

Owner Signature(Required)

Additionally, please note that any pet in the triage system will be in the designated triage area, awaiting a doctor's exam. While waiting, our nursing staff diligently checks on patients every hour to note any changes in their condition. This proactive approach may lead to adjustments in the triage order, ensuring that we address evolving needs promptly. We sincerely appreciate your understanding and patience as we prioritize the well-being of every furry friend entrusted to our care.

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881 Animal Emergency Drive, Springdale, AR 72762
Phone: (479) 927-0007 Fax: (479) 927-1458

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Phone

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