New Patient Form
Fill out the form with your pet information
Hilton Vet Centre
O' Halloran Hill Vet Centre
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Hilton Vet Centre

O' Halloran Hill Vet Centre

Welcome to Pets Health Veterinary Practices, we’re looking forward to meeting you and your pet!
We just need a bit of information so we can provide your pet the best care possible.


NEW PATIENT / NEW CLIENT FORM

Thank you for choosing us to care for you and your pet(s).
Please take a moment to share some important information with us.


Please fill this form out online or use the print above option and bring it in with you.
You can also email us the form prior to your visit.

CLIENT INFORMATION

Last Name
First Name
Partner
Address
City
State
PostCode
Home Phone
E-mail *
Mobile
Partner Mobile
Referred By - Please Circle or fill in (select multiple options if apply)
Client
Website
Yellow Pages
Drove by and Saw Sign
Internet Search Engine
Other
Keyword used on google
Why you ultimately chose us:

PATIENT INFORMATION

Name
Date of Birth
Sex
Desexed
Yes
No
Breed
Colour
Microchip ID#

MEDICAL HISTORY

Please bring in any vaccination & health records with you.

Name of the previous vet practice & permission to contact:
Which clinic will you be coming to?

ADDITIONAL PET?

Yes
No

PATIENT INFORMATION

Name
Date of Birth
Sex
Desexed
Yes
No
Breed
Colour
Microchip ID#



MEDICAL HISTORY

Please bring in any vaccination & health records with you.

Name of the previous vet practice & permission to contact:
Which clinic will you be coming to?

I hereby authorize the veterinarian to examine, prescribe for, and/or treat the above described pet(s). I assume responsibility for all charges incurred in the care of my pet(s). I also understand that all professional fees are due at the time services are rendered.
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Pets Health is a full service animal hospital with clinics located in Hilton and O’Halloran Hill. We are dedicated to helping you keep your best mate happy and healthy through each stage of their life with compassionate and reassuring veterinary care.

Free Puppy Preschool

A well-behaved puppy will bring many years of joy and many moments of laughter!


O’Halloran Hill Vet Centre

123 Main South Road
O’Halloran Hill, SA 5158

Hilton Vet Centre

142 Sir Donald Bradman Drive
Hilton, SA 5033