NEW PET FOR EXISTING CLIENT / ADDITIONAL PETS FORM

THOMPSON VETERINARY CLINIC

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NEW PET FOR EXISTING CLIENT / ADDITIONAL PETS FORM

* Indicates required field

Owner Name *

First

Last

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BEST PHONE NUMBER TO REACH YOU *

PATIENT INFORMATION

Pet's name *

Species *

Cat Dog Other Small Animal Other Large Animal

Breed *

Sex *

Male Male/Neuter Female Female/Spay

Color *

PETS DATE OF BIRTH OR APPROX. AGE *

Please list any previous illnesses diagnosed and/or current medications with dosages. *

In Case of an emergency, is there anyone other than those listed above able to make decisions regarding your pet(s)? Name/Phone Number *

Name of Previous veterinary clinic/hospital along with contact information *

PATIENT RECORDS *

I have contacted my previous veterinarian and they will be sending a copy of my pets records to TVC. I have a copy of my previous veterinarian history and will be bringing it with me to my appointment. Please contact my previous veterinarian to obtain records.

History can be sent to info@thompsonvetclinic.com or fax to 906-341-3595.

If we get a fun picture of your pet, are you ok with pictures of your pet being posted on our social media? (no personal information will be share) *

Yes No

**Some mobile devices will not redirect you to a different page after submitting the form. If you did not receive a message stating items were missing, we should receive the form in minutes. Please do not submit repeatably if you have not been redirected to a different page. If you are unsure or would like to confirm we received it please text (906)368-4503 or call 906-341-2813.**

Please check the box below to note that you have read the notice above in red *

Yes

HIT THIS BUTTON TO SUBMIT THIS FORM TO THOMPSON VETERINARY CLINIC

Please take note - above this message will state if items are missing and form will not be submitted until you fill in all missing items and resubmit.

Emergency Care:

Call 906-341-2813

Emergency Services are provided through the Manistique office with the exception of every other weekend when Escanaba Vet Clinic is on call

Contact Us:

Thompson Veterinary Clinic
440 Chippewa Avenue
Manistique, MI 49854
Phone: 906-341-2813
Fax: 906-341-3595
Text: 906-368-4503
(To learn more about our texting services, click here)
Email: info@thompsonvetclinic.com

Hours
Monday - Friday: 8:00 am - 11:45 am,
1:30 pm - 5:00 pm
Saturday: Closed
Sunday: Closed

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