New Client Form - Sauk Point Veterinary Clinic

Thank you for choosing us to care for your pet! We’re experiencing a high volume of new client requests, and in order to continue providing the best care for all of our patients—both new and established—we kindly ask that new clients complete our New Client Form (NCF) before scheduling an appointment. Once the form is submitted, we will reach out to you to start the scheduling process. The NCF will ask if you prefer Email or text for us to get in touch with you.

To help us manage our appointments and ensure availability, we are also introducing a Deposit, payable at the time you schedule your first appointment. This Deposit guarantees a hold for your appointment and will be applied to your account, counting towards the costs of your pet’s exam. We have a cancellation policy that if you need to cancel or reschedule, you must do so at least 24 hours before your scheduled appointment. The Deposit will be forfeited if the appointment is cancelled with less than 24 hours’ notice, or in the case of a no-show.

We appreciate your understanding and cooperation as we strive to provide exceptional care for all of our patients. Your pet’s health is our priority, and we look forward to serving you!

New Client

Name *

Name

First Name

Last Name

Pronouns

Email *

Phone (mobile) *

Phone (home)

Significant Other/Secondary Name on Account (if applicable)

First Name

Last Name

Pronouns

Secondary Phone (if applicable)

Preferred method of contact for scheduling *

Address Line 1 *

Address Line 2

City *

State *

Zip Code *

Place of Employment *

How did you hear about us? *

If referred by a friend or family member, who can we thank for your referral?

Do you have a doctor preference? *

Dr. Kristine Collins

Dr. Pamela Sanftleben

Dr. Molly Miszkiewicz

Dr. Jamie Buhk

Dr. Laura Oxley-Patterson

No Preference

What brings you to Sauk Point Vet Clinic? *

New to area

New adoption

Dissatisfied with current veterinary care

Seeking a second opinion

To have surgical/dental procedure performed

Expectations for your appointment that you would like us to know?

Previous Veterinary Clinic *

Previous Clinic’s Phone Number *

Do we have permission to contact the clinic listed above for records? *

Yes

No previous clinic

If “No”, please provide a reason

Would you like us to register you for our online pharmacy? *

Yes

Pet’s Name *

Species *

Breed (we love them all <3)

Color

Birthdate/Estimated Age *

Sex *

Male

Female

Neutered/Spayed? *

Yes

Are they microchipped? *

Yes

How do they feel about coming to the vet?

Do they have a favorite treat?

Anything else we should know about your pet? (ex. Medical issues, allergies)

Second Pet’s Name (if applicable)

Species

Breed (we love them all <3)

Color

Birthdate/Estimated Age

Sex

Male

Female

Neutered/Spayed?

Yes

Are they microchipped?

Yes

How do they feel about coming to the vet?

Do they have a favorite treat?

Anything else we should know about your pet? (ex. Medical issues, allergies)

I have read and understand the client expectations and cancellation policy *

Yes

If you are human, leave this field blank.

New Client

Name *

Name

First Name

Last Name

Pronouns

Email *

Phone (mobile) *

Phone (home)

Significant Other/Secondary Name on Account (if applicable)

First Name

Last Name

Pronouns

Secondary Phone (if applicable)

Preferred method of contact for scheduling *

Address Line 1 *

Address Line 2

City *

State *

Zip Code *

Place of Employment *

How did you hear about us? *

If referred by a friend or family member, who can we thank for your referral?

Do you have a doctor preference? *

Dr. Kristine Collins

Dr. Pamela Sanftleben

Dr. Molly Miszkiewicz

Dr. Jamie Buhk

Dr. Laura Oxley-Patterson

No Preference

What brings you to Sauk Point Vet Clinic? *

New to area

New adoption

Dissatisfied with current veterinary care

Seeking a second opinion

To have surgical/dental procedure performed

Expectations for your appointment that you would like us to know?

Previous Veterinary Clinic *

Previous Clinic’s Phone Number *

Do we have permission to contact the clinic listed above for records? *

Yes

No previous clinic

If “No”, please provide a reason

Would you like us to register you for our online pharmacy? *

Yes

Pet’s Name *

Species *

Breed (we love them all <3)

Color

Birthdate/Estimated Age *

Sex *

Male

Female

Neutered/Spayed? *

Yes

Are they microchipped? *

Yes

How do they feel about coming to the vet?

Do they have a favorite treat?

Anything else we should know about your pet? (ex. Medical issues, allergies)

Second Pet’s Name (if applicable)

Species

Breed (we love them all <3)

Color

Birthdate/Estimated Age

Sex

Male

Female

Neutered/Spayed?

Yes

Are they microchipped?

Yes

How do they feel about coming to the vet?

Do they have a favorite treat?

Anything else we should know about your pet? (ex. Medical issues, allergies)

I have read and understand the client expectations and cancellation policy *

Yes

If you are human, leave this field blank.

New Client

Name *

Name

First Name

Last Name

Pronouns

Email *

Phone (mobile) *

Phone (home)

Significant Other/Secondary Name on Account (if applicable)

First Name

Last Name

Pronouns

Secondary Phone (if applicable)

Preferred method of contact for scheduling *

Address Line 1 *

Address Line 2

City *

State *

Zip Code *

Place of Employment *

How did you hear about us? *

If referred by a friend or family member, who can we thank for your referral?

Do you have a doctor preference? *

Dr. Kristine Collins

Dr. Pamela Sanftleben

Dr. Molly Miszkiewicz

Dr. Jamie Buhk

Dr. Laura Oxley-Patterson

No Preference

What brings you to Sauk Point Vet Clinic? *

New to area

New adoption

Dissatisfied with current veterinary care

Seeking a second opinion

To have surgical/dental procedure performed

Expectations for your appointment that you would like us to know?

Previous Veterinary Clinic *

Previous Clinic’s Phone Number *

Do we have permission to contact the clinic listed above for records? *

Yes

No previous clinic

If “No”, please provide a reason

Would you like us to register you for our online pharmacy? *

Yes

Pet’s Name *

Species *

Breed (we love them all <3)

Color

Birthdate/Estimated Age *

Sex *

Male

Female

Neutered/Spayed? *

Yes

Are they microchipped? *

Yes

How do they feel about coming to the vet?

Do they have a favorite treat?

Anything else we should know about your pet? (ex. Medical issues, allergies)

Second Pet’s Name (if applicable)

Species

Breed (we love them all <3)

Color

Birthdate/Estimated Age

Sex

Male

Female

Neutered/Spayed?

Yes

Are they microchipped?

Yes

How do they feel about coming to the vet?

Do they have a favorite treat?

Anything else we should know about your pet? (ex. Medical issues, allergies)

I have read and understand the client expectations and cancellation policy *

Yes

If you are human, leave this field blank.