New Patients

ValleyVet

New to ValleyVet? Welcome!
We look forward to meeting with you and your pets

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New Patient Form
Please fill this out prior to your first visit and help us get to know your furry family member!

* Indicates required field

My First and Last Name *

First

Last

Spouse/Partner First and Last Name *

First

Last

Primary Phone Number *

Select One *

Secondary Phone Number *

Select One *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Patient 1

Pet Name *

Breed *

Date of Birth (can be an estimate if you don't know) *

Color *

Gender *

Male Female unknown

Spayed or Neutered? *

Spayed Neutered unknown

Special Diets/Notes *

Patient 2

Pet Name *

Date of Birth (can be an estimate if you don't know) *

Gender *

Male Female unknown

Spayed or Neutered? *

Spayed Neutered unknown

Breed *

Color *

Special Diets/Notes *

Submit

Thank you for filling out your New Patient Form! After submitting the form, please submit an Appointment Request. We check our requests daily, and our staff will contact within 24 hours.

Request Appointment

Hours of Operation

Monday - Saturday
8:00am - 5:30pm

Sunday
Closed

Need Directions?

Valley Veterinary Care, Inc.

Call: 541-963-0287

Address:
401 Adams Ave
La Grande, Oregon 97850

Fax: 541-663-0247

Email: mypet@valleyvetlagrande.com

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Home
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New Patients
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