Welcome New Clients! Book today and get $50 off your first exam! *Terms Apply

We’re excited to welcome Dr. Christina Easton to our team — She is now accepting new clients!

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New Client Form Mill Creek Veterinary Hospital

Save time in our office by filling out forms online. Start by signing your new client form today!

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Online forms

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At Mill Creek Veterinary Hospital, we want your visit to be as smooth as possible. Fill out the form below to make your next visit a breeze.

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? *

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? *

Payment is due in full at the time that services are performed. If being admitted into the hospital, we cannot begin the care of your Pet until you have confirmed your desire to do so by 1) signing the client consent & estimate form, and 2) leaving an initial deposit of 50% of the upper end of the estimate. This is the only way that we have of knowing for certain that you want us to proceed with the care of your Pet. We accept Cash, Visa, MasterCard, Discover, and CareCredit payments. We neither extend credit, nor bill for services. All open invoices are sent to collections after 45 days unless prior arrangements are made. *

I have read and accept the financial policy.

Name

Save time at your appointment

New Client Form Mill Creek Veterinary Hospital

Online forms

Fill out your forms online

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Mill Creek Veterinary Hospital

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