Open Mon-Fri: 8:00AM to 5:00PM, Sat: 8:00AM to 1:00PM

Home
About Us
Services
Forms
- New Client Form
Pharmacy
Contact Us

Make an Appointment 248-752-0204

Make an Appointment 248-752-0204

Home
About Us
Services
Forms
- New Client Form
Pharmacy
Contact Us

Open Mon-Fri: 8:00AM to 5:00PM, Sat: 8:00AM to 1:00PM

Home
About Us
Services
Forms
- New Client Form
Pharmacy
Contact Us

Make an Appointment 248-752-0204

Make an Appointment 248-752-0204

Home
About Us
Services
Forms
- New Client Form
Pharmacy
Contact Us

Make an Appointment 248-752-0204

New Client Form

Please fill out this form after your first appointment has been scheduled at the direction of our client service representative.

Owner's Name*
First Last
Spouse/Partner/Co-Owner's Name
First Middle Last
Date*
MM slash DD slash YYYY
Address*
Street Address Address Line 2 City State ZIP Code
Cell Phone*
Co-owner's Phone
Email*

Providing us with your email address will allow us to communicate with you in the event that we cannot reach you by telephone. Also, you will be able to receive reminders, access your pet’s health information request prescription refills, request appointments through our app, and more!
Would you like to receive text message reminders?*
- Yes
- No
Pet Information
Pet's Name*
Species*
Breed*
Color/Markings:*
Age*
Sex*
- Male
- Female
- Male – neutered
- Female - spayed
Is your pet currently on any medication?*
- Yes
- No
Does your pets have allergies to any drugs?*
- Yes
- No
Check which treatments your pet receives:*
- Heartworm preventative
- Flea treatments
- Tick treatments
- Dental treatments
Is your pet current on their vaccinations?*
- Yes
- No
Add a second pet?*
- Yes
- No
Pet's Name*
Species*
Breed*
Color/Markings:*
Age*
Sex*
- Male
- Female
- Male – neutered
- Female - spayed
Is your pet currently on any medication?*
- Yes
- No
Does your pets have allergies to any drugs?*
- Yes
- No
Check which treatments your pet receives:*
- Heartworm preventative
- Flea treatments
- Tick treatments
- Dental treatments
Is your pet current on their vaccinations?*
- Yes
- No
Name and contact information of previous Vet*
How did you become aware of our hospital?
- Clinic Sign/Location
- Google Search
- Facebook/Instagram
- Yelp
- Referral
Who can we thank?*
Spartan Veterinary Clinic may sometimes take photos/videos of your pet for social media. Please select one of the following:*
- I give Spartan Veterinary Clinic consent to take photos/videos of ME AND MY PET
- I give Spartan Veterinary Clinic consent to take photos/videos of MY PET ONLY
- I DO NOT give Spartan Veterinary Clinic consent to take photos/videos of me and my pet
Are you any of the following?
- Veteran/Active Duty Military
- Teacher
Payment is required at the time of service. We accept cash, all major credit cards, and Care Credit. We do not accept personal checks or money orders.
Signature*
CAPTCHA

Δ

Make an Appointment

Pharmacy

Find Us

Business Hours

Monday 9:00am – 5:00pm
Tuesday 9:00am – 5:00pm
Wednesday 9:00am – 7:00pm
Thursday 9:00am – 5:00pm
Friday 9:00am – 3:00pm
Saturday Closed
Sunday Closed

We are closed Monday-Friday from 12:30pm to 1:30pm

More Information

509 E Thirteen Mile Rd.
Royal Oak, MI 48073

Newsletter Sign Up

Full Name
Email Address
CAPTCHA

Δ

Privacy Policy | Accessibility | © Copyright 2024 - Spartan Veterinary Clinic. Veterinary Marketing powered by iVET360.