Wake Vet Hospital & Urgent Care
Raleigh, NC Animal Hospital
Home
Back to Home Page
Wellness Plans
Preventative care for your pet
Services
Veterinary and pet care services
Wellness Exams
Diagnostic Procedures
Boarding
Grooming
Special Rates
Emergency
Emergency care information
Our Doctors
Learn about our caring staff
Tour Our Hospital
Photos of our facilities
Testimonials
Read what others have to say
Contact Us
Phone, Email, Directions
Pet Records
Via AllyConnect
Petly
Manage your pet’s health online
Online Store
Products for your pets’ care
Home
New Client Registration
New Client Registration
Client Information
Owner's Name
*
First
Last
Address
*
Street Address
Address Line 2
City
State
ZIP / Postal Code
Phone Number
Email Address
Preferred Method of Contact
Phone
Email
Patient Information
Pet's Name
Species
Date of Birth / Age
Gender
Male
Female
Spayed / Neutered
Yes
No
Color
Previous Veterinarian
Name and Address
Up to Date on Vaccines
Yes
No
Current Medications
Medical History