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Client Information Update Form

Thank you for choosing Prairie View Animal Hospital for your pet’s care. Our Client Information Form helps us keep your contact details and pet information up to date so we can provide personalized, efficient service during every visit.

A white dog wearing a red bandana with a paw print design and a blue bone-shaped tag.

Fill the Client Information Update Form

Accurate information helps our team communicate with you effectively and ensures we can provide the best possible care for your pet.

Once your form is submitted, our team will review the information as part of preparing for your pet’s appointment. If we need any additional details before your visit, we will contact you.

If you need to update your information or provide additional details, please complete this form as thoroughly as possible.

By providing your email address, you will automatically be signed up for Petsites, where you can view all of your pet’s medical records online. If you choose not to sign up, please let the receptionist know in advance.)

Patient Information

Please list additional pets in the space provided below.

NEW PET INFORMATION:

(We will not use your name or any personal information.)

Credit & Collection Policy

  1. All charges are expected to be paid in full at the time of service, and for new clients.
  2. A finance charge of 18% APR is applied to any balance that is over 30 days old. Monthly payments are required, and any accounts greater than 90 days without a payment are subject to referral to our collection agency and will be charged a collection fee of 33% of the balance and a $10.00 fee if a certified letter is sent.
  3. A $20.00 no-show fee will be charged to the account for every missed appointment.
  4. A $25.00 fee will be applied to all returned checks.
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Thank you for choosing Prairie View Animal Hospital to care for your pet(s). We will be happy to answer any questions you have about your pet’s health. To ensure the best possible care, please make sure all the above information is complete and accurate. Thank you!