Pet Registration Form

Thank you for giving us the opportunity to care for your pet. So that we may become better acquainted, please complete and submit the following form.

  • Breeder? Pound? Friend? Other?
  • Prescription? Commercial? Table scraps?
  • Please share your pet's history - ongoing health problems (include current medications), allergies, prior illness or trauma, behavior problems, personality "quirks," etc. Also, please let us know about any concerns you have regarding your pet.
  • Current Medications other than heartworm and flea/tick prevention:

  • (ex: Rimadyl)
  • (ex: 25mg)
  • (ex: 1 tablet twice a day)
  • Photo Release

    As his/her owner I give permission for my pet to be photographed and he/her likeness used on the Healing Paws Veterinary Hospital website, Facebook page, or other media.
COVID-19 ANNOUNCEMENT: Due to the recent increase in COVID-19 cases, we are now requiring all staff and clients to wear masks while in the building, regardless of vaccination status. The safety of both our staff and clients is of the utmost importance to Healing Paws Veterinary Hospital. Thank you for your continued support.
This is default text for notification bar