Curbside Check-In Form

Name: Highland's Pet Medical Clinic
Address: 1220 Parkway, Austin, TX, 78703, United States
Telephone: 512-476-1069
Price range: $

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We are excited for your appointment!

Highland’s Pet Medical Clinic is honored to care for your pet. Please remember to CALL US when you arrive.

Curbside Check-In Form

Please fill out the following form before your scheduled drop-off appointment. If you have any questions, do not hesitate to call us. Please note: All * fields are required.

Is there anyone in your household or who has been in contact with your pet that is ill with COVID-19 or COVID-19 like symptoms? If so, we will use additional personal protective equipment. *

I am in this vehicle: *

(Please list the model and color.)

Best phone number for today's appointment: *

(The veterinarian and technician will use this number to communicate with you through the appointment.)

Patient's Name *

Patient's Species *

Canine
Feline

Owner's Name *

First

Last

Owner's Email *

Appointment Date/Time *

Primary Reason for Appointment / Concern (please be as detailed as possible) *

Patient's Energy Level

Normal
Increased
Decreased

Please list all medications your pet is currently taking:

Do you need refills of any medications?

If you need a medication refill, please list which medications below:

Do you need refills on any prescription pet food?

If you need a prescription pet food refill, please let us know which kind:

Patient's Appetite

Normal
Increased
Decreased

Drinking / Water Intake

Normal
Increased
Decreased

Is your pet coughing?

If yes, for how long?

Is your pet sneezing?

If yes, for how long?

Is your pet vomiting?

If yes, for how long?

Is your pet having any diarrhea?

If yes, for how long?

Does your pet have any food allergies?

If 'Yes', please explain:

Is it okay if we give your pet a treat?

Does your pet require any special handling (i.e., muzzle, history of back surgery so careful around back, etc.)?

If 'Yes', please explain/specify: *

File Upload

Click or drag files to this area to upload. You can upload up to 5 files.

Website

We proudly serve the pets of Austin, TX, and beyond.

It is our mission to partner with our clients to nurture and preserve the human-animal bond by providing compassionate, expert, and affordable veterinary care from your pet's first adventure throughout a long and healthy life.

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Location

1220 Parkway
Austin, TX 78703

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Contact Information

P: 512-476-1069
E: [email protected]

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Hours

Monday - Friday: 7 AM - 6 PM
Saturday: 8:30 AM - 12 PM
Sunday: Closed