New Client Form

Name: Fohey Veterinary Hospital
Address: 824 S Mill St., Clio, MI, 48420, United States
Telephone: 810-686-1110
Price range: $

Welcome to our hospital!

CONTACT US

Complete your form online!

Name *

First

Last

Today's Date *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Home Phone

Cell Phone

Work Phone

Spouse or Co-Owner Name

Spouse or Co-Owner Name Phone

Drivers license number (needed for medication dispensing):

Owner's Birthdate:

Pet's Name *

Pet's Birth Date/Age *

Pet's Breed *

Pet's Color *

Pet's Sex *

Male
Neutered Male
Female
Spayed Female

Is your pet currently taking any medications? *

Yes
No

Diet / Current Medications (if any)

Previous Veterinarian *

Do you have an additional pet?

Yes
No

Have you Already made an appointment at our facility? *

Yes
No

I hereby authorize the veterinarian, to examine, prescribe for, or treat the above described pet. I assume responsibility for all charges incurred in the care of this animal. I also understand that these charges will be paid at the time of release and that a deposit may be required for surgical treatment. *

I have read and understand.

With new Laws in place we must ask: I hereby authorize Fohey Veterinary Hospital to fax my animals records to any veterinarian, referring veterinarian, or boarding/grooming facility at my request. *

I have read and understand.

If you cannot make your scheduled appointment, please make sure to call within 24 hours to cancel or reschedule to avoid a $50 fee ($75 for surgical appointments). *

I have read and understand.

Pet Owner's Digital Signature *

Comment

How may we help you?

Contact us today to learn about how Fohey Veterinary Hospital can serve the needs of you and your cherished pet.

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Location

824 S Mill St.
Clio, MI 48420
Click here for directions.

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Contact Info

Phone: 810-686-1110
Email: fvh@foheyvethospital.net

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Hours

Mon-Fri: 9:00 AM - Noon / 2 - 5:30 PM
Fri: 9:00 AM - Noon / 2 - 5:00 PM
Weekend: Closed
Office hours are by appointment.

Prescription pick ups until 5 PM daily.

Have a question?

Use the form below and a member of our team will get back to you as quickly as possible. If you need immediate assistance, please call us directly at 810-686-1110.