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.