Prairie View Animal Hospital

Menu
  • Home
  • About Us
    • About Us
    • Dr. Lisa Thilges
    • Dr. Lin Kauffman
    • Our Team
    • Gallery
    • Reviews
    • Blog
  • Careers
  • New Clients
    • New Clients
    • Online Forms
    • Pet Insurance
  • Appointments
  • Services
    • Services
    • Preventative Care
    • Dental Procedures
    • Digital Radiography
    • Internal Medicine
    • Laboratory
    • Laser Surgery
    • Pharmacy
    • Soft Tissue & Orthopedic Surgery
    • Small Animal Reproduction
    • Ultrasound
  • Online Pharmacy
  • Contact
  • Pet Portal

New Patient Registration Form

New Client Form

  • Pet 1
  • Date Format: MM slash DD slash YYYY
  • Pet 2
  • Date Format: MM slash DD slash YYYY
  • Pet 3
  • Date Format: MM slash DD slash YYYY
  • If you have more than three pets, let us know!
  • I understand that my veterinarian will need to communicate with me, or someone designated by me, prior to treatment of my animal(s) in order to obtain informed consent. For purposes of obtaining informed consent, I direct my veterinarian as follows:
  • Financial Policy

    In order to maintain high quality veterinary care while keeping our cost under control, ALL PROFESSIONAL FEES ARE DUE AT THE TIME SERVICES ARE RENDERED.I authorize Prairie View Animal Hospital to acquire any medical or surgical records from my previous veterinarian and/or send copies of any medical or surgical records to any veterinarian, pet grooming shop, or kennel.
  • Date Format: MM slash DD slash YYYY
Prairie View Animal Hospital

(515) 986-2841

1830 SE Princeton Suite A, Grimes, IA 50111

Monday: 7:30AM - 7:00PM
Tuesday - Friday: 7:30AM - 5:30PM
Saturday: Closed
Sunday: Closed

ScratchPay Application
Sitemap | Accessibility
Website by DOCTOR Multimedia
Font Resize
Contrast
  • Accessibility
  • Careers
  • Dr. Lin Kauffman
  • Dr. Lisa Thilges
  • Drop-Off Form
  • Home
  • New Patient Registration Form
  • Parasite Prevention
  • Reviews
  • Sitemap
  • Small Animal Reproduction
  • Surgery Consent Form
  • Thank You
  • About Us
    • Gallery
  • Our Team
  • New Clients
    • Pet Insurance
    • Online Forms
  • Services
    • Laser Surgery
    • Ultrasound
    • Preventative Care
    • Soft Tissue & Orthopedic Surgery
    • Internal Medicine
    • Laboratory
    • Pharmacy
    • Digital Radiography
    • Dental Procedures
  • Specials
  • Contact