New Client Form

We’re so excited to have you join our animal hospital! Please fill out our new client form from any device. We look forward to meeting you and your pet.

Please Note:

This is NOT an appointment request form, if you need to schedule an appointment please do so here.

Pet Details

Pet Name(Required)
MM slash DD slash YYYY

Owner Details

Is this a cell phone? May we text you?(Required)
Is this a cell phone? May we text you?
Name of Co-Owner/Spouse/Person authorized to make medical decisions for your pet
What are your preferred ways to be contacted? Check all that apply.
How did you hear about us?
May we contact them for your pet's previous medical records?
We love taking photos of cute pets! May we take photos of your pet(s) and share them on our public social media pages? (Facebook, Instagram, Website, print material, etc.) Photographs may be accompanied by your pet's name only. Owner's personal information will NOT be shared. *(Required)

Financial Policy

  • We accept cash, checks (established clients only), Debit, Visa, MC, AMEX and Discover.

  • We DO NOT extend credit or offer billing or in-house payment plans.

  • We DO accept third-party financing and payment options through CareCredit and ScratchPay.

  • Pre-qualification/Application is required for these financing options.

  • Please visit their websites or inquire with our staff PRIOR to treatment, for details.
  • New client visits require a deposit of $100 to hold your appointment.

  • Dental, surgical, and anesthetic procedures require a $200 deposit to be paid at time of scheduling.

  • Ultrasound/Echocardiogram procedures require full pre-payment at time of scheduling.

  • Surgical and hospitalization services may require full or partial payment based upon the estimated treatment plan cost at the time of admission/hospitalization.

Cancellation, Late & Missed Appointment Policy

If you are not able to keep an appointment, we ask that you call us promptly so we may offer that appointment to another patient in need.

MISSED APPOINTMENTS: Failure to be present at the time of a scheduled Exam or Surgical/Dental appointment will be recorded as a missed appointment on your account and fees may apply.

Exam appointments that are 10 or more minutes late for check-in will be required to reschedule; fees may apply.

  • 4 hours' advanced notice is required to change or cancel your appointment to avoid fees.

  • Missed or late cancelled appointments will incur a $93 fee.
  • Dental/Surgical appointments must be cancelled by 9am, 48 hours prior to the date of the procedure to avoid cancellation fees.

  • Missed and late-cancelled Dental/Surgical appointments will forfeit their pre-paid deposit of $200.

We understand there are times when emergency situations present themselves that are beyond your control. We will do our best to work with you to reschedule without an applicable fee when possible.

Consent for Release of Records

Your pet's physical medical records are the property of North Seattle Veterinary Clinic. The information contained within the records about your pet are the property of the pet's owner. By law, we have 10 days to supply your pet's medical records to you at your request. From time to time, we may be asked to send your pet's records to third parties, such as other veterinary clinics, emergency clinics, specialists, groomers, or boarding facilities. By default, we will not give information out unless your pet is being seen as an emergency and it is critical for your pet's health or if we are referring your pet directly to a Specialist.