Skip to content

Accepting New Clients

Make An Appointment

Home
Our Hospital
Services
New Clients
Payment Options
Shop Online
- Online Pharmacy
- Purina Vet Direct
Contact

Home » Our Hospital » Forms » New Client Form

New Client Form

To best serve all our clients & patients, we have updated our appointment booking policy.

Client (Human) Name:*

First

Last
Address:*

Street Address

Apt #

City

State

Zip
Cell Number:
Other Number(s):
Primary Email Address:*
Other Authorized Person(s) you would like to add to your chart:
Name

First

Last
Number
Name

First

Last
Number:
Please answer the following questions:
Pet's Name*
Species*
- Dog
- Cat
Breed*
(or Longhair/Shorthair for non-purebred cats)
Color*
Birthday (or Age)*
Spayed or Neutered*
- Yes
- No
Would you like to add a second pet?
- Yes
Pet's Name*
Species*
- Dog
- Cat
Breed*
(or Longhair/Shorthair for non-purebred cats)
Color*
Birthday (or Age)*
Spayed or Neutered*
- Yes
- No
How did you hear about us?*
May we release your records to any third party?*
NOTE: A third party may be a groomer, doggy daycare facility, other animal hospitals/referral centers, etc.
- Yes
- No, I wish to be contacted first
Photo Consent:*
We love to take photos of our patients for educational purposes, marketing, social media, our website and medical charting reasons. No personal information will be used without your permission. Do you consent to allowing us to take and/or use photos of your pet for the above described purposes?
- Yes
- No
Are you a Senior Citizen (65 or older)?*
- Yes
- No
Are you active or retired Military?*
- Yes
- No
Who was your previous veterinary clinic?
Previous Medical Records?
In order to facilitate your appointment in an efficient manner, please upload any medical records you may have for your pets. If you are unable to upload your pet’s medical records, please bring them with you to your appointment or contact your previous veterinary clinic and have your pet’s records either emailed to [email protected] or faxed to 414-239-8128.
Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 50 MB.
Authorization For Treatment*
I hereby authorize the veterinarian(s) of Downtown Veterinary Clinic to examine, prescribe, treat and perform procedures for my pets as medically deemed necessary and authorized by me. I understand that I am responsible for all costs incurred and that payment is due at time of services rendered. I understand that Downtown Veterinary Clinic does NOT offer payment plans of any kind and that I may be asked to pay a deposit prior to performing certain treatments or procedures.

I agree.
CAPTCHA
Name
This field is for validation purposes and should be left unchanged.

Get in touch

414-323-7587

931E. Ogden Ave.,
Milwaukee, WI 53202

Make An Appointment

Make an Appointment

Pharmacy

Contact Us

Pet Records

Prescription Refill

PetDesk App

Business Hours

Monday

8:00am - 6:00pm

Tuesday

8:00am - 6:00pm

Wednesday

8:00am - 6:00pm

Thursday

8:00am - 6:00pm

Friday

8:00am - 6:00pm

Saturday

8:00am - 12:00pm

Sunday

Closed

Closed For Lunch 12:20pm -1:20pm M-F

Downtown Veterinary Clinic

414-323-7587

931E. Ogden Ave.,
Milwaukee, WI 53202

Make An Appointment

Home
Our Hospital
Services
New Clients
Payment Options
Shop Online
- Online Pharmacy
- Purina Vet Direct
Contact

© Copyright 2024 - Milwaukee, WI Vet - Downtown Veterinary Clinic. Sitemap | Privacy Policy