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NEW PATIENT PORTAL

Hello! We are so excited to finally get to meet you! As we prepare for your first visit, we want to ensure a fear free experience. Please take a moment to complete the pre-visit questionnaire and you may also enroll in one of our preventative care VIP Membership plans.   

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Pets age at 7 times the rate we do, so twice-yearly physical exams are the cornerstone of staying healthy. Our VIP Membership plans are designed to keep your pets healthy in an affordable, convenient way. In addition to the benefits listed in the plan, our plans also include Telehealth available daily from 6 a.m. to 10 p.m. and texting is available 24/7. We are always there when you need us the most, even if it is after hours.

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NEW Client/Patient Form

Thank you for trusting PetVet365 to care for your pet. So that we may become better acquainted, please complete the following: 

OWNER INFORMATION

Preferred Communication
Permission to use pictures, history, or medical information about your patients in the media?
How did you hear about us?

PATIENT INFORMATION:

Pet #1 (Check one)
Pet #1 Sex
Pet #1 Spayed/Neutered
Pet #1 Microchipped
Pet #2 (Check one)
Pet #2 Sex
Pet #2 Spayed/Neutered
Pet #2 Microchipped

Payment Policy: FULL PAYMENT IS EXPECTED UPON RENDERING OF SERVICE. Alternative payment plans must be discussed prior to the start of treatment. Deposits are required on major/surgical cases, trauma cases, and emergency work where hospitalization is required. There is a fee for all returned checks. Outstanding balances on accounts may result in account information being sent to a collection agency.

Thanks for submitting!

SOMER New Patient
Pre-Visit 
Questionnaire

As Fear Free Certified Professionals, we want to make your pet’s veterinary experience as enjoyable and as stress-free as possible. As such, it’s important for us to understand what your pet might find upsetting. The information will help us to adjust our care to better serve and comfort your pet. Please answer the following questions to the best of your ability so we can take into consideration both your and your pet’s preferences.

Does your pet show any reluctance to getting in the carrier or car?
During travel to the veterinary hospital, does your pet do any of the following:
Does your pet prefer:
Check any situations listed below that your pet has shown avoidance or dislike of in the past. You can add additional comments at the end.

Thanks for submitting!

SOMER Fear Free
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