At Calapooia Veterinary Center, we offer patient forms online so you can complete them in the convenience of your own home or office.

Client/Patient Information Form

  • Client Information

  • Please write the name of the Client, Veterinarian, or other referral information.
  • Pet Information

  • Authorization For Treatment

    I hearby authorize the staff of Calapooia Veterinary Center to render any treatment that is deemed necessary to my pet(s) health while in custody of the hospital. I understand that in the event of any unusual or emergency circumstances, the staff will make every attempt to contact me or my designated representative before, if time permits, proceeding with treatment. I understand that I will be financially responsible for all emergency procedures including the Estimate of Charges provided to me in person or over the telephone. I understand that professional fees are to be paid at the time services are rendered and a deposit is required on all pets admitted to the hospital. I understand that any unpaid fees remitted to a collection agency will be subject to a 100% increase and I will be responsible for any fees associated with collections proceedings
  • This field is for validation purposes and should be left unchanged.

New Patient Registration Form – Download & Print Form

Fax us your printed and completed forms or you may bring them during your visit.

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