Sahalee Veterinary Hospital

New Pets

Name: Sahalee Veterinary Hospital
Address: 22603 NE Inglewood Hill Rd Suite #100, Sammamish, WA, 98074, United States
Telephone: 425-394-5200
Price range: $

Please fill out the new patient form below, and a member of our team will get back to you shortly. If you have any questions, please feel free to contact us.

Appointment

Get Started Here

Thank you for considering Sahalee Veterinary Hospital for your pet’s needs. Please fill out our new patient registration form in its entirety to ensure we can provide you and your pet with the best possible care. Please note any fields with an * are required.

Client Name *

First

Last

Email *

Pet's Name *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Species (dog, cat, etc.) *

Breed *

When and where did you get your pet? *

Does your pet have any previously diagnosed health conditions? If so, what? *

Please list any previous veterinary hospitals your pet has visited so we may obtain records. Reason for leaving? *

Please list any other household pets, if applicable.

Do you feed your pet canned food, dry food, or both? *

Canned
Dry
Both

What medications, supplements, or human products is your pet on? *

Please list name, strength, and frequency of the medications your pet is receiving. *

Brand name of pet’s food and the main protein (ie. chicken, beef, fish, etc.): *

How much do you feed your pet? *

Does your pet have any known drug sensitivities or allergies? *

Please specify which sensitivities and/or allergies below.

Does your pet go outside (cats only)? *

Please specify:

Is your pet on a monthly parasite/flea/tick preventative? *

Please specify:

Have you traveled or plan to travel with your pet in the next 12 months? If so, where? *

Does your pet have a microchip? *

Please specify:

Have there been any changes in your pet’s appetite (i.e. increased or decreased)? *

Please specify:

Have there been any changes to your pet’s defecation (i.e., increased or decreased frequency, soft or hard stools, straining, vocalizing, blood, etc.)? *

Please specify:

Will you / did you bring a fecal sample for us to screen for intestinal parasites? *

Please specify:

Have there been any changes to your pet’s drinking (i.e., increased or decreased)? *

Please specify:

Have there been any changes to your pet’s urination (i.e., increased or decreased frequency, straining, vocalizing, blood, etc.)? *

Please specify:

Have there been any changes to your pet’s energy level? *

Please specify:

Has your pet recently lost or gained weight? *

Please specify:

Is your pet coughing, sneezing, and/or having nasal or eye discharge? *

Please specify:

Have you noticed your pet having any difficulty breathing? *

Please specify:

Does your pet seem itchy (i.e., scratching, licking paws, head shaking)? *

Please specify:

Have you noticed any limping? *

Please specify:

Does your pet have any new lumps or bumps? *

Please specify:

Do you provide dental care for your pet? *

Please specify:

Does your pet have health insurance? *

Please specify:

Has your pet shown any aggression toward people or other animals? *

Please specify:

Do you have any other questions or concerns for the doctor?

Name

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Location

22603 NE Inglewood Hill Rd
Suite #100
Sammamish, WA 98074

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Contact

Phone: 425-394-5200
Fax: 425-642-5863
Email: [email protected]

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Hours

Mon-Fri: 8:00 AM – 6:00 PM
Sat: 9:00 AM – 2:00 PM
Sun: Closed

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Online Store

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Have a question?

Get in touch! Complete the form below, and a member of our team will be in touch with you shortly. If you’re in need of immediate assistance, please contact us at 425-394-5200.

Name *

First

Last

Email *

Phone

How can we help you? *

Phone