Riverwalk Pet Hospital - new client form

Riverwalk Pet Hospital & Resort

New Client Form

Please complete the form below before your first visit!

New Client Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit.

Owner Information

Patient Information/History

We will contact you via phone, email, or text message regarding your pet’s medical care, including communication from the doctors, expiring vaccinations, and/or upcoming appointments.

Payment Information/Media Release

My signature below authorizes RPHR to use my Pet(s) photo and/or information related to my experiences. I understand this information may be used in publications, including electronic publications, audiovisual presentations, promotional literature, advertising, social media content, and/or other similar ways. My consent is freely given to RPHR without expecting payment. I release RPHR and their respective employees and agents from any and all liability that may arise from the use of such news media stories, promotional materials, written articles, videotapes, and/or photographs. I understand that I can revoke this release at any time in writing and that the use of any of my photos or other information authorized by this release will immediately cease.

Fear Free Questionnaire