Scioto Trail Animal Clinic

2710 Scioto Trail
Portsmouth, OH 45662

(740)353-2280

www.sciototrailanimalclinic.com

New Client Check In

Thank you for considering our hospital as your pet’s provider of veterinary services. We are dedicated to maintaining the health of your pet and look forward to many future years together.

Please complete this form as fully as possible prior to your first appointment which will help expedite the registration process and give us valuable insight in providing optimal care for your pet(s).

New Client

Name *(required)*

First Name (required)	Last Name (required)

Address (required)
Street Address (required)

City (required) ,	State / Province (required)	Zip / Postal Code (required)

Daytime Phone (required)
Phone Type	Phone Number (required)

Evening Phone (required)
Phone Type	Phone Number (required)

E-Mail Address :

Pet's Name (required)

Age: Years, Months

Type of Pet (required) :

Breed:

Sex: (required)

Male
Female

Neutered/Spayed

Neutered
Spayed

Are your pets vaccines current?

Do you have pets medical records?

Medical records at another veterinary Practice?

Yes
No

Name of Former Veterinary Practice

May we request a transfer of records?

Yes
No

Would you like us to call you for your appointment

Reasons or conditions that prompted your visit?

Special requests or conditions?

Please list any additional pets here

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PET LIBRARY

Scioto Trail Animal Clinic is pleased is to provide a library of professionally written articles updated by practice experts.

They are reviewed by practitioners to bring you the most up-to-date, trustworthy pet health information.

SERVICES

Looking for veterinary services in Portsmouth?

Scioto Trail Animal Clinic offers a wide range of veterinary services such as Pet Wellness and Vaccination Programs, pet surgery, dental cleanings and treatments and much more!

MEET OUR STAFF

Meet our caring and compassionate veterinary team! We’re pleased to provide exceptional vet care for your pets!

Please call us at 740-353-2280 to speak to one of our caring veterinary staff members!

PET LIBRARY

Scioto Trail Animal Clinic is pleased is to provide a library of professionally written articles updated by practice experts.

They are reviewed by practitioners to bring you the most up-to-date, trustworthy pet health information.

SERVICES

Looking for veterinary services in Portsmouth?

Scioto Trail Animal Clinic offers a wide range of veterinary services such as Pet Wellness and Vaccination Programs, pet surgery, dental cleanings and treatments and much more!

MEET OUR STAFF

Meet our caring and compassionate veterinary team! We’re pleased to provide exceptional vet care for your pets!

Please call us at 740-353-2280 to speak to one of our caring veterinary staff members!