New Client Registration Form

New Client/Patient Registration Form

Thank you for considering our hospital as your pet's provider for 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 you pet(s). The required sections have a red* asterisk.
  • Please enter date in the form of mm/dd/yyyy
  • Owner's Name

  • By providing your e-mail you will be signed up to view your pet(s) medical records and receive e-mail reminders.
  • Pet Information

366 NE Underwood Ave
Bend, Oregon 97701
Monday through Saturday: 8 AM until 6 PM
Lunch from noon ’til 1 PM

After Hours Emergency

Animal Emergency Center of Central Oregon

Monday-Wednesday 5pm-8am
Thursday 5pm-Monday 8am
Open 24 hours on Fri, Sat, Sun

Call them at:

Find them at:
1245 SE 3rd St. #C3
Bend, OR 97702