Is your pet a new patient at Oceanside Veterinary Hospital? If so please complete the New Patient Form using any one of the options listed below.

Option 1

Complete Online

Fill out and submit the following online form.

Option 2

Print & Complete

Take the finished form with you to your appointment.

Download Form

Option 3

Complete on Arrival

If you'd rather, complete the form at our hospital.

New Patient Form

Owner Information

Owner First Name *

Owner Last Name *

Secondary Owner / Authorized Agent Name

Email *

Primary Phone *

Mobile Phone

Work Phone

Address *

City *

State *

Zip Code *

Employer *

Occupation *

Date of Birth *

How did you hear about us? *

Primary Care Veterinarian

Internet

Friend / Family

Community Event

Signage

Printed Publication

Radio

Other

Emergency Contact

Primary Emergency Contact Name *

Primary Emergency Contact Phone *

Secondary Emergency Contact Name

Secondary Emergency Contact Phone

Do you authorize your emergency contact(s) to make urgent treatment decisions if you are unreachable? *

Yes

Do you authorize your emergency contact(s) to receive patient information in addition to your primary care veterinarians? *

Yes

Patient Information

Pet Name *

Birth Date / Age *

Species *

Breed / Other Species *

Color

Vaccination Status *

Gender *

Spayed or Neutered? *

Presenting problem, special needs, concerns *

Primary Veterinarian Information

Please fill this section in if we are not your primary care veterinary hospital. By listing your primary care veterinarian, you are authorizing Oceanside Veterinary Hospital to release patient information to the primary care hospital or veterinarian.

Primary Care Facility

Primary Care Veterinarian(s)

By submitting this form, I hereby authorize Oceanside Veterinary Hospital to render medical care for my pet(s) as deemed necessary by the veterinarian. I understand that no guarantee can be given to the outcome of treatments and take it as my responsibility to comprehend any risks involved. I agree to pay for the cost of all services to which I consent to by written or verbal estimate. I understand that a deposit is required before diagnostics and treatments can be initiated and that payment in full is required prior to discharge of patient from Oceanside Veterinary Hospital.

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Emergencies

Happy Tails from Clients

I went to Oceanside Vet Hospital for an emergency with my cat. She had never been seen there, and even as a new patient, the staff took great care of her. They were able to see her right away. The vets were very communicative about the care she needed & the treatment plan they were giving her. The staff was so friendly and seemed to genuinely care for my pet. I am so thankful for them and the care provided.
- Logan

New Patient Form

Option 1

Complete Online

Option 2

Print & Complete

Option 3

Complete on Arrival

New Patient Form

Owner Information

Emergency Contact

Patient Information

Primary Veterinarian Information

Now Welcoming New Patients