home
about
services
resources
CONTACT

home
about
services
resources
CONTACT

new client form

thank you for selecting Redmond Veterinary for your pet’s care

Welcome to Redmond Veterinary! We’re honored to be a part of your pet’s healthcare journey. To help us provide the best possible care, please take a few moments to complete this information form.

From the moment you arrive, you can expect a friendly, welcoming experience and compassionate, high-quality care from our team. Our hospital is designed to be a comfortable environment for both pets and the people who love them.

Appointment Times: We make every effort to see you as close to your scheduled appointment time as possible. While we strive to keep visits running smoothly, unforeseen medical emergencies may occasionally require immediate attention and can result in delays. We appreciate your patience and understanding as we care for pets with urgent needs.

If you have any questions, please call us at 425-738-3033. We look forward to meeting you and your furry family member!

Name *

First

Last

Pronouns

Email *

Primary Phone *

Secondary Phone

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Who else is authorized to make decisions about your pet's healthcare?

First

Last

Phone

How did you find out about our hospital? If you were referred by someone, who should we thank? *

Name of previous clinic:

Date last seen by a veterinarian:

Previous clinic's phone number:

May we contact your previous veterinarian to obtain your pet’s medical records?

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

What is the microchip number?

Is your pet currently up to date on their vaccinations?

If no, please list which vaccines your pet needs (if known):

What and when do you feed your pet?

Type and brand of food, quantity, serving times, treats or chews, and any other information.

Please list any previous illnesses, injuries, surgery, or anesthesia your pet has had.

What medications, flea/tick/parasite prevention, or supplements are you currently giving or have recently given your pet?

Has your pet ever had a reaction to vaccine or medication?

Do you have a second pet? *

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

What is the microchip number?

Is your pet currently up to date on their vaccinations?

pet needs a

If no, please list which vaccines your pet needs (if known):

What and when do you feed your pet?

Type and brand of food, quantity, serving times, treats or chews, and any other information.

Please list any previous illnesses, injuries, surgery, or anesthesia your pet has had.

What medications, flea/tick/parasite prevention, or supplements are you currently giving or have recently given your pet?

Has your pet ever had a reaction to vaccine or medication?

Do you have a third pet? *

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

What is the microchip number?

Is your pet currently up to date on their vaccinations?

If no, please list which vaccines your pet needs (if known):

What and when do you feed your pet?

Type and brand of food, quantity, serving times, treats or chews, and any other information.

Please list any previous illnesses, injuries, surgery, or anesthesia your pet has had.

What medications, flea/tick/parasite prevention, or supplements are you currently giving or have recently given your pet?

Has your pet ever had a reaction to vaccine or medication?

Do you have a fourth pet? *

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

What is the microchip number?

Is your pet currently up to date on their vaccinations?

If no, please list which vaccines your pet needs (if known):

What and when do you feed your pet?

Type and brand of food, quantity, serving times, treats or chews, and any other information.

Please list any previous illnesses, injuries, surgery, or anesthesia your pet has had.

What medications, flea/tick/parasite prevention, or supplements are you currently giving or have recently given your pet?

Has your pet ever had a reaction to vaccine or medication?

Do you have a fifth pet? *

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

What is the microchip number?

Is your pet currently up to date on their vaccinations?

If no, please list which vaccines your pet needs (if known):

What and when do you feed your pet?

Type and brand of food, quantity, serving times, treats or chews, and any other information.

Please list any previous illnesses, injuries, surgery, or anesthesia your pet has had.

What medications, flea/tick/parasite prevention, or supplements are you currently giving or have recently given your pet?

Has your pet ever had a reaction to vaccine or medication?

Payment is due in full at the time services are rendered. We neither extend credit nor bill for services. We accept Visa, Mastercard, Discover, American Express, Apple Pay, and Google Pay, and checks may be accepted on a case-by-case basis. A 3% fee applies to credit card payments. Financing is available through CareCredit and Scratchpay. *

I have read and accept the financial policy.

May we use images of your pet on our social media or marketing materials? *

Yes, I give permission
No, I do not give permission

Electronic Signature *

Clear Signature

By signing, I confirm that the information provided in this form is accurate to the best of my knowledge. I authorize the veterinary team to examine and treat my pet as needed and understand that I am financially responsible for all services rendered. I acknowledge that estimates may be provided upon request and that payment is due at the time services are performed.

Book Your Pet’s Appointment in Redmond, WA

Redmond Veterinary provides veterinary care for dogs and cats in Redmond, WA, serving pet owners throughout Redmond, Woodinville, Kirkland, Sammamish, Bellevue, and nearby Eastside communities. From wellness exams and vaccinations to diagnostics, surgery, and urgent care services, our team is dedicated to supporting your pet’s health with compassionate, personalized care. Ready to get started? Book your appointment online today.

we want to hear from you!

Please complete our online form and a member of our team will get back to you as quickly as possible.

location

8451 164th Ave NE
Redmond, WA 98052

Contact us icon for veterinary appointments and pet care inquiries

contact information

Phone: 425-738-3033
Fax: 425-380-0403
Email: hello@redmond-veterinary.com

hours

Monday – Friday: TBD
Saturday: TBD
Sunday: TBD

Name *

First

Last

Email *

Phone

How can we help you? *

Social Media Authorization

I authorize Redmond Veterinary to use information I provide through this form for social media and promotional purposes.

Name

find your cara network neighborhood vet
near you!

The Cara Veterinary Network includes a growing family of community-focused veterinary hospitals, each dedicated to delivering compassionate, high-quality care while maintaining strong local connections. From Redmond and the surrounding Eastside communities to other locations throughout the region, our clinics provide veterinary services built on trust, continuity, and personalized care. Visit our Locations page to find a Cara Veterinary Network hospital near you.

Our Locations