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Whitefish, MontanaNew Client Registration Form

Name: Whitefish Animal Hospital
Address: 713 13th St E, Whitefish, MT, 59937, US
Telephone: 406-862-3178
Price range: $

Save Time at Your First Visit with Whitefish Animal Hospital

Welcome to Whitefish Animal Hospital, proudly serving Whitefish, Columbia Falls, Kalispell, Bigfork, and the surrounding Flathead Valley. We’re thrilled to welcome you and your pet to our family! To make your first visit as smooth and stress-free as possible, please complete our New Client Registration Form before your appointment.

Get Started

Need Immediate Assistance?

If your pet is experiencing an urgent medical issue or you need same-day care, please call us directly at 406-862-3178 instead of submitting this form. Our team will prioritize your call and provide immediate guidance.

We Look Forward to Meeting You

Thank you for choosing Whitefish Animal Hospital. We look forward to meeting you and your pet and are committed to making your first visit as smooth and comfortable as possible.

Name *

First

Last

Email *

Primary Phone *

Secondary Phone

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Who else is authorized to make decisions about your pet's healthcare? (e.g., spouse, partner, or emergency contact)

First

Last

Phone

How did you find out about our hospital? If you were referred by someone, who should we thank? *

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

What is the microchip number?

Do you have a second pet? *

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

What is the microchip number?

Do you have a third pet? *

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

What is the microchip number?

Do you have a fourth pet? *

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

What is the microchip number?

Do you have a fifth pet? *

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

What is the microchip number?

Payment is due in full at the time services are performed. For pets being admitted to the hospital, care cannot begin until you have signed the client consent and estimate form and provided a 50% deposit on the upper end of the estimate. We accept cash, Visa, Mastercard, Discover, and CareCredit. We do not extend credit or bill for services. Open invoices are sent to collections after 45 days unless prior arrangements have been made. *

I have read and accept the financial policy.

Schedule Your Pet’s Visit Today

Your pet’s health and happiness mean everything to us. Whether you’re scheduling a routine checkup, dental cleaning, or surgery consultation, our team is ready to help. Call us today at 406-862-3178 to book an appointment or learn more about your pet’s lifelong care.

Call The Clinic

Whitefish, MontanaNew Client Registration Form

Need Immediate Assistance?

We Look Forward to Meeting You

Schedule Your Pet’s Visit Today

We’re Here to Help

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