New Client 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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Thank you for choosing us!

We are so excited you decided to join our family! We cannot wait to get to know you and your pet.

New Client Form

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

Name *

First

Last

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? *

Pet's Name *

Species (dog/canine or cat/feline) *

Breed *

Color/Markings *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

Name of Previous Veterinary Clinic (if none, please write 'N/A') *

Do we have permission to transfer records from this clinic? *

Do we have permission to use pictures of your pet on our social media pages and website? *

Payment is due in full at the time that services are performed. We accept cash and credit card payments. We neither extend credit nor bill for services. *

I have read and accept the financial policy.

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

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Hours

Monday - Friday: 8 AM - 5 PM
Saturday: Closed
Sunday: Closed