Online Forms

Please complete your New Client Form prior to your first appointment. We look forward to meeting you soon!

Owner's Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Home Phone

Cell Phone

Driver's License*

Driver's License State*

Which number is best to reach you?*

Home
Cell

Can you receive text messages?*

Yes
No

Email*

Add a Co-Owner?*

Yes
No

Name

First Last

Home Phone

Cell Phone

Pet Health History

Pet's Name*

Sex*

Male
Female

Neutered/Spayed?*

Yes
No

Breed*

Color*

Birthdate or Age*

Current Medications

Please bring and give any medical records/vaccine records to the receptionists to make copies.

Diet And Environment

What food does patient currently eat?*

Amount & Frequency?*

Is your pet on any dietary supplements?*

Yes
No

Does your pet consume table food?*

Yes
No

Is your pet primarily indoor or outdoor?*

Yes
No

Are there any other animals in the household?*

Yes
No

Do you have your pet groomed or boarded outside of your home?*

Yes
No

Do you travel outside of Texas with your pet?*

Yes
No

Past History

Has your pet had any prior illnesses, accidents, or surgeries*

Yes
No

Is your pet aggressive or fearful around strangers?*

Yes
No

Is your pet on heartworm, flea/tick preventatives?*

Yes
No

Please list any other medications or supplements your pet receives.

Does your pet have any known allergies to any medications?*

Yes
No

Has your pet ever had a reaction to any vaccines?*

Yes
No

To allow for ample time with all patients and surgical procedures, Hub City Vet Clinic operates by appointment only. We request clients be on time for their scheduled appointments and procedures. If you are 15 minutes late to your appointment, you may be asked to reschedule your appointment.

Upon receipt of this request, our receptionist will reach out to you with the first available appointment time that coincides with your preferences. If we are unable to reach you or do not hear back from you within 24 hours, we will be unable to reserve your spot on the schedule.

If you need to cancel an appointment, we ask you give a minimum of a 24-hour notice. This will allow us to better accommodate those individuals seeking immediate care.

We strive to accommodate all emergency situations and unforeseen circumstances; however, please know these situations may be subject to additional fees. We ask that in any emergency, you CALL to advise our staff of your arrival, so that we may prepare accordingly. DO NOT submit an appointment request for an emergency. For your convenience, we offer limited same day appointments for urgent care and sick patients, but they fill up fast, so we recommend calling first thing in the morning.

I hereby authorize the veterinarian to examine, prescribe for, or treat the above described pet. I assume responsibility for all charges incurred in the care of this animal.*

I have read and agree

Do we have your permission to share your pet’s image and story on our social media, website, and other forms of related media?*

Yes
No

Will you be using pet insurance?*

Yes
No

I authorize my emergency contact (other than myself) to pursue treatment if I am unavailable. Your emergency contact must be an adult over the age of 18.*

I have read and agree

Emergency Contact*

First Last

Emergency Contact Phone*

Signature*

Date*

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Pet Health History

Diet And Environment

Past History

Our Location

Address

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