New Clients

We look forward to meeting you and your pet(s).Please print and fill out the new client form prior to your visit with us. If you have any questions please call.

Download New Patient Form

New Patient Form

We appreciate the opportunity to care for your pet(s).
*Indicates a required field.

Pet Owner Information

* Indicates required field

Pet Owner's Name *

First

Last

Spouse/Partner Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Primary Phone *

Phone Type *

Secondary Phone *

Phone Type *

How did you hear about our clinic? *

Pet Information

Pet Name *

Date of Birth *

Species *

Sex *

Breed *

Color/Markings *

Current Medications? *

Any known Allergies? *

I assume responsibility for all charges incurred in the care of my pet. I understand that all fees are due at the time of services and a deposit may be required for medical/surgical treatments.

Method of Payment *

I give permission to use my pet's photo for social media and website photos. *

Yes No

Your Initials (electronic signature) *

Today's Date *

Submit

Orangewood Animal Hospital

7147 N. 7th Street
Phoenix, AZ 85020
Phone: 602-997-6313
Fax: 602-371-1936
Email: orangewoodanimalhospital1@gmail.com

hours of operation

Monday: 8 am-12 pm / 2 pm-5:30 pm
Tuesday: 8 am-12 pm / 2 pm-7 pm
Wednesday: Temporarily Closed
Thursday: 8 am -12 pm / 2 pm -7 pm
Friday: 8 am-12 pm / 2 pm-5:30 pm
Saturday: 9 am - 2 pm
Sunday : Closed