Thank you for considering our hospital as your pet’s provider of veterinary services. We are dedicated to maintaining the health of your pet and look forward to many future years together.

Please complete this form prior to your first appointment. This will help expedite the registration process and give us valuable insight in providing optimal care for your pet(s). The required sections have a red * asterisk.
  • Owner's Name

  • Co-owner's Name

  • Address

  • Informed Consent

  • Cancellation Policy:

  • Disclosure of Information

  • Wisconsin law requires written permission to release your pet's health records to certain third-parties (non-owners). Wis.Stat.453.075. Please indicate to whom you authorize us to release your pet's health records. Do you authorize us to release your pet's health records to other veterinary clinics along with allowing us to request complete records from previous veterinary clinics?
  • Pet Information

  • Fear Free Questionnaire

  • As Fear Free certified professionals, we want to make your visit to our hospital the best it can be for you and your pet. Please answer a few questions so we can take both you and your pet’s preferences for the visit into consideration

  • Which high reward treat would your pet prefer?: