Owner Information

Owner Name *

First

Last

Cell Phone *

Co-Owner Name

First

Last

Co-Owner Cell Phone

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Preferred Phone *

This will be the primary number we contact regarding your pet(s)

Email Address *

Other Phone Number

Emergency Contact *

Emergency Phone *

How did you hear about us?

Your Pet’s Information

Pet's Name *

Species *

Feline
Canine
Other

If other, what?

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Breed *

Color

Are vaccines up to date? *

Yes
No

Where was your pet last vaccinated?

What other clinics can we contact to obtain previous medical records?

Do you have a second pet? *

Yes
No

Pet's Name *

Species *

Feline
Canine
Other

If other, what?

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Breed *

Color *

Are vaccines up to date? *

Yes
No

Where was your pet last vaccinated?

What other clinics can we contact to obtain previous medical records?

Do you have a third pet? *

Yes
No

Pet's Name *

Species *

Feline
Canine
Other

If other, what?

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Breed *

Color *

Are vaccines up to date? *

Yes
No

Where was your pet last vaccinated?

What other clinics can we contact to obtain previous medical records?

Photo Release Waiver

Photo Release Permission:

I grant Paws & Claws Pet Medical Center the right to take photographs of my pet(s). I allow them to use the images for my pet’s medical record and also, unless opted out below, for potential use in their marketing and social media.
Paws & Claws Pet Medical Center may NOT take/use photos of my pet(s) for marketing purposes.

Treatment & Payment Information

I hereby authorize the veterinarian to examine, prescribe for, or treat my pet(s). I assume responsibility for all charges incurred in the care of my animals. In the event of an emergency, and I am unavailable, I authorize treatment and stabilization of my pets. I understand a missed appointment without 24 hours notice can result in a missed appointment fee. I understand that multiple missed appointments may result in no longer being able to have my pets seen at this facility. I also understand that full payment is due when services are rendered and that a deposit may be required for surgical/medical treatment. Paws & Claws accepts Cash, Debit/Credit Cards & Care Credit. CHECKS ARE NOT ACCEPTED.

Signature *

Clear Signature

Date *

Forms

New Client Form

New Client Form

Owner Information

Your Pet’s Information

Photo Release Waiver

Treatment & Payment Information

Request an Appointment Today!

Address

Contact Information

Hours

Have a Question?

We proudly serve the pets of Troutdale, OR, and beyond

Troutdale

Gresham

Wood Village

Corbett

Damascus