New Client Form

Welcome! Prior to your pet’s upcoming appointment, please fill out the form below.

Client Name *

What is your Date of Birth? (This information is used in the event we ever have to send home scheduled medications with your pet. Scheduled medication is determined by the FDA) *

What is the best number to reach you? *

Is this a cell phone? *

Yes

Would you like to receive text messages about appointment reminders or pet updates? *

Yes

If the above was not your cell phone, please share here if you wish to receive text messages.

What is your email? *

Is there a co-owner for your pet that can make medical or financial decisions for your pet in the event we cannot reach you? *

Yes

Co-Owner Name

What is the best phone number to best reach the co-owner?

What is your physical address? *

Oakridge Veterinary Clinic is legally required to report all rabies vaccines administered to pet's that reside in the City of San Jose, Owner's that reside in San Jose, CA are required to license all cats and dogs within the city limits. State Rabies Mandate.(SJMC Sections 7.08.610, 7.08.615, 7.08.620, 7.08.625, 7.08.630, 7.08.635, 7.08.0640, 7.08.645) *

Acknowledged

What is your pet's name? *

My pet is a... *

Monday	8:00 am	6:00 pm
Tuesday	8:00 am	6:00 pm
Wednesday	8:00 am	6:00 pm
Thursday	8:00 am	6:00 pm
Friday	8:00 am	6:00 pm
Saturday	8:00 am	6:00 pm
Sunday	Closed