New Pet and Client Intake Form

Please fill out this form before your first appointment.

APPOINTMENT
Click or drag a file to this area to upload.
In order for our doctors to best examine your pet(s) we need to learn their medical history. Please send us a copy of their complete medical history, including DVM notes, diagnostic images and reports, surgical reports, prescription history, and a vaccination certificate. Records can be sent to us by email at service@thewelcomewaggin.com or fax at 331-333-3058.

Photo & Video Approval

I hereby authorize The Welcome Waggin and its representatives to take photographs of my pet(s) during veterinary visits. I understand that these photographs may be used for marketing purposes, including but not limited to social media, websites, and printed materials. I further understand that no identifying information, including my pet's name, will be used without my consent.

I waive any right to inspect or approve the finished product, including written or electronic copy, wherein my pet's likeness appears. I also waive any right to royalties or other compensation arising or related to the use of the photographs.

I acknowledge that I am not entitled to any compensation for the use of these photographs and that I am not obligated to sign this waiver as a condition of receiving veterinary services.

Please check consent box below.