New Client Form

Welcome to Johnson Creek Veterinary Care! We are proud to provide personalized, family-friendly veterinary care for dogs and cats in Johnson Creek, WI. Completing your new client form in advance helps our team prepare for your visit and ensures we can focus on what matters most — your pet’s health and comfort.

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Johnson Creek Veterinary Care

Complete Your New Client Form

Thank you for choosing Johnson Creek Veterinary Care. Please complete the new client form below prior to your appointment. Providing accurate and detailed information allows our team to better understand your pet’s medical history and ensures a smooth, efficient visit. If you have any questions while filling out the form, our team is happy to help.

Name *

First

Last

Email *

Primary Phone *

Secondary Phone

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Who else is authorized to make decisions about your pet's healthcare? *

First

Last

Phone

How did you find out about our hospital? If you were referred by someone, who should we thank? *

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

What is the microchip number?

Do you have a second pet? *

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

What is the microchip number?

Do you have a third pet? *

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

that your (dog,

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

What is the microchip number?

Do you have a fourth pet? *

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

What is the microchip number?

Do you have a fifth pet? *

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

What is the microchip number?

Payment is due in full at the time that services are performed. If being admitted into the hospital, we cannot begin the care of your pet until you have confirmed your desire to do so by 1) signing the client consent & estimate form, and 2) leaving an initial deposit of 50% of the upper end of the estimate. This is the only way that we have of knowing for certain that you want us to proceed with the care of your pet. We accept Cash, Visa, MasterCard, Discover, and CareCredit payments. We neither extend credit, nor bill for services. All open invoices are sent to collections after 45 days unless prior arrangements are made. *

I have read and accept the financial policy.

Schedule Your Pet’s Visit Today

Your pet deserves thoughtful, personalized care. Call Johnson Creek Veterinary Care to schedule an appointment or download the PetDesk App to manage your pet’s care conveniently.

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Here When Your Pet Needs Us Most

Johnson Creek Veterinary Care is proud to provide personalized, relationship-based veterinary care for dogs and cats in Johnson Creek and surrounding communities. Our team focuses on quality medicine, client education, and compassionate service to help you make the best decisions for your pet.

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Location

270 Wright Road
Johnson Creek, WI 53038

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Contact Information

Phone: (920) 699-7297
Email: info@johnsoncreekveterinarycare.com

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Hours

Mon – Fri: 8:00 AM – 5:00 PM
Sat: 8:00 AM – 12:00 PM
Sun: Closed

Name *

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Last

Email *

Phone Email help

Phone

How can we help you? *

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