If you would like to make an appointment, you can expedite your check in by submitting this form.

Client Information:

Name *

First

Last

Spouse Name

First

Last

Mailing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Owner Phone

Phone Type

Phone *

Spouse Phone

Phone Type

Phone

Driver's License Number: *

Email *

How would you prefer to be reached? *

PetDesk (Text)
Phone
Email

How did you hear about us?

(If referral) Person Who Referred You:

Please list their full name if able - we like to acknowledge the people who recommend our clinic!

Has this pet seen any previous veterinarians? *

Yes
No

(If Yes) Please name previous veterinarian(s) - clinic and phone number:

Please Upload Any Previous Records:

Drag & Drop Files, Choose Files to Upload You can upload up to 5 files.

(They can also be emailed to us at hello@pethospitalgranbury.com.) Please leave blank if there are no previous records.

Pet Information:

Pet's Name *

Species *

Dog
Cat

to where on

Se *

Male
Neutered Male
Female
Spayed Female

Breed *

Color *

Approximate Age (Years, Months) *

Do we have permission to post your pet on our social media? *

Yes
No

**PAYMENT IN FULL IS REQUIRED AT THE TIME OF SERVICES**

For instances where a check payment is returned due to insufficient funds, The Pet Hospital of Granbury will attempt to collect by credit card or cash for the face amount of the check plus $35 returned check fee. We also utilize TekCollect if the account goes unpaid after 90 days to turn over the account to collections.

SIGNATURE REQUIRED BELOW

**PAYMENT IN FULL IS REQUIRED AT THE TIME OF SERVICES** For instances where a check payment is returned due to insufficient funds, The Pet Hospital of Granbury will attempt to collect by credit card or cash for the face amount of the check plus $35 returned check fee. We also utilize TekCollect if the account goes unpaid after 90 days to turn over the account to collections. *

Clear Signature

Today's Date *

Client Information:

Owner Phone

Spouse Phone

Pet Information:

Ready to Book an Appointment?

Have A Question?

Location

Contact Information

Hours