New Client Special – $25 off your first visit! Call for more details.

Mercer Island, WA

New Client Registration Form

Please fill out this form before your visit. We can’t wait to meet you and your four-legged friend and look forward to the opportunity to serve you both for many years to come!

Get Started

OWNER INFORMATION

Primary Contact *

First

Last

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Secondary Contact

First

Last

Phone

PET INFORMATION

Pet's Name *

Age/DOB *

Sex *

Male
Neutered Male
Female
Spayed Female

Breed *

Color *

Previous Veterinary Clinic

FINANCIAL POLICY

* FULL PAYMENT IS DUE AT THE TIME OF SERVICES *

Appointments cancelled within less than 24 hours will be charged an $97 fee; surgeries cancelled within less than 24 hours will be charged a $200 fee.

We accept cash, check, VISA, MasterCard, and Discover.

I hereby authorize the Island Cats Veterinary Hospital veterinarian(s) to examine, prescribe for and treat the above described pet(s). I assume responsibility for all charges incurred in the care of my pet(s). I understand that all charges must be paid at the time of service. Thank you for choosing Island Cats Veterinary Hospital as your cat’s health care provider. *

I have read and authorize.

Signature *

Clear Signature

Date *

New Client Special – $25 off your first visit! Call for more details.

Mercer Island, WA

New Client Registration Form

OWNER INFORMATION

PET INFORMATION

FINANCIAL POLICY

* FULL PAYMENT IS DUE AT THE TIME OF SERVICES *

Get in Touch

Have a question?

Address

Contact

Hours

New Client Special – $25 off your first visit! Call for more details.

Mercer Island, WA

New Client Registration Form

OWNER INFORMATION

PET INFORMATION

FINANCIAL POLICY

*** FULL PAYMENT IS DUE AT THE TIME OF SERVICES ***

* FULL PAYMENT IS DUE AT THE TIME OF SERVICES *