Back to Pet Kare Clinic Patient Forms New Pet "*" indicates required fields Client InformationName* First Last Cell Phone*Email* New Pet InformationPet's Name* Type of Pet* Dog Cat Other What kind of pet?* Breed* Color* Sex* Male Female Not sure Spayed/Neutered* Yes No Not sure How old is your pet?* Birthdate (approximate if unknown)* MM slash DD slash YYYY Previous Veterinary Clinic (If Applicable) Can we contact the previous clinic?* Yes No Have you medicated your pet recently?* Yes No Not sure If yes, state the medications:* Has your pet been tested for heart worms?* Yes No Not sure Has your pet been on a parasite preventative?* Yes No Not sure Does your pet have a microchip or tatoo?* Yes No Not sure Has your pet had regular dental care?* Yes No Not sure What brand food do you feed your pet?* What type of food do you feed your pet?* Canned Dry Both How many hours is your pet outdoors each day?* Do you use your pet for hunting or sporting?* Yes No Sometimes Add Another Pet or Update Your RecordsClick Here to Add Another Pet or Update Your Client Information I would like to add another pet to my record I would like to update my client profile information I am all set for now Click SUBMIT button and you will be prompted to enter information for another pet or to update your records.