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"Providing comprehensive health care for your family pet."

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414.425.2340
Call us today for all of your pet's health care needs!

414.425.2340

WHY YOU SHOULD PURCHASE YOUR FRONTLINE PLUS & HEARTGARD PLUS PRODUCTS FROM US!

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SPECIALS & COUPONS


Forest Home Animal Clinic
11222 West Forest Home Avenue
Franklin, Wisconsin 53132
Phone: (414)425-2340
Fax: (414)425-4762

Clinic and Hospital Hours
Monday - Friday
8:00 AM to 6:00 PM
Saturday 8:00 AM to Noon

Doggie Day Camp Hours
Monday - Friday
6:30 AM to 6:30 PM

Boarding
Sunday pickup is now available!
Call for details.


Pet Portal
What is a Pet Portal?


Click here for BBB Business Review


Health Alerts!
Important Information Regarding Dog Treats Made In China
The Importance of Vaccines


AKC Breeder of Merit

Congratulations Dr. Rieser
In January 2013 he received the AKC Breeder of Merit Award for his commitment to breeding beautiful purebred German Shorthair Pointers whose appearance, temperament, and ability are true to their breed.




New Client Registration Form

Please call our clinic at (414)425-2340 to make an appointment.
By filling out this form, and submitting it ahead of time, you won't need to fill out the New Client Registration Form when you check your pet in with our reception staff.

Thank you. We look forward to meeting your pet.

New Client

Date

Name (required)
First Name (required)
Last Name (required)
Home (required)
Street Address (required)
City (required)
State / Province (required)
Zip / Postal Code (required)
,
Employer

Employer's Address
Street Address
City
State / Province
Zip / Postal Code
,
Daytime Phone (required)
Phone TypePhone Number (required)
Evening Phone (required)
Phone TypePhone Number (required)
Emergency Contact (required)
First Name (required)
Last Name (required)
Emergency Contact's Phone (required)
Phone TypePhone Number (required)
E-Mail Address :
Pet's Name (required)

Age: Years, Months (required)

Type of Pet (required) :
Breed: (required)

Sex: (required)
Male
Female


Neutered/Spayed (required)
Neutered
Spayed


Where did you get your pet from? (required)
Friend
Breeder
Pet Shop
Humane Society
Other


Are your pet's vaccine's current? (required)
Yes
No


If your pet is on any medications, please list below: (required)

Do you have your pet's Medical records? (required)
Yes
No


Medical records at another veterinary Practice?
Yes
No


Name of Former Veterinary Practice

May we request a transfer of records?
Yes
No


Would you like us to call you for your appointment?
Reasons or conditions that prompted your visit?

Please check any symptoms or problems you've noticed with your pet:
No Problems
Appetite Loss
Behavioral Changes
Breathing Problems
Depression
Diarrhea
Eye Disorders
Gagging
Gums Bleeding
Limping
Scratching
Shaking Head
Sneezing
Thirst
Urination Increase or Problems
Vomiting
Weakness
Pet's History (check all that your pet has received)
Distemper
Parvovirus (Dog)
Rabies (Dog/Cat)
Feline Leukemia Test
Dental Cleaning
FVRCP (Infectious Disease-Cat)
Special requests or conditions?

How did you hear about our practice? (required)
A Client
Website
Add in the newspaper
Walk-In
Other


Please list any additional pets here

Please Read
I understand, by indicating I agree and submitting this registration, that I am responsible for any charges incurred by my pet while in the care of the doctors at Forest Home Animal Clinic and that charges are due and payable at the time of service, unless other arrangements are made in advance. Any balance that is carried over a period of 30 days will accrue a monthly finance charge of 1.5% or 18% per annum. Any balance that I leave unpaid will be forwarded to Forest Home Animal Clinic's collection agency, and will incur a 25% collection fee for which I am liable, in addition to monthly finance charges.
I have read this statement and - (required)
I Agree
I Disagree



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