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New Client Form

Thank you for considering our Eastside Veterinary Hospital as your pet’s provider of veterinary services. Save time during your next appointment! Complete your required forms online from any device at any time before your visit.

Get Started

Start Your Pet’s Registration and Care

Please fill out this form as completely and accurately as possible so we can get to know you and your pets before your visit.

Name *

First

Last

Spouse

First

Last

Primary Phone *

Additional Phone

Address *

Address Line 1

Address Line 2

City

State

Zip Code

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Employer *

Work Phone

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Spouse Employer

Spouse Work Phone

Email *

We now have paperless reminders, please provide email address

How did you become aware of our hospital?

Friend/Neighbor
Drove By
Yellow Pages
Newspaper Ad
Sign
Other

Who should we thank? *

Other *

Do we have permission to share your pet’s photo on our website, social media, and marketing channels? *

All Fees are Due at the Time Services are Rendered

Pet Name *

Species (Dog or Cat) *

Sex *

Male
Neutered Male
Female
Spayed Female

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Breed *

Color

Date of Birth

Any allergies to vaccinations or medications?

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Vaccination/Medication *

Allergy Reaction *

Is your pet on any special diets or medications? *

Please Explain *

Who was your previous veterinarian? *

Signature *

Date *

Comment

Ready for a Visit?

We proudly serve the pets of Owasso, Oologah, Skiatook, Claremore, and beyond. We look forward to seeing you and your pet! Book an appointment by clicking the button below.

Book Appointment

Questions?

Get in touch! We look forward to
hearing from you.

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Location

13420 E 146th St N
Collinsville, OK 74021

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Contact Information

Phone: (918) 371-2439
Email: staff@eastsidevet.biz

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Hours

Mon-Fri: 7:30 AM – 6:00 PM
Sat: 8:00 AM – 12:00 PM
Sun: Closed
Closed for All Major Holidays

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First

Last

Email *

Phone

How can we help you? *

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