

NEW PATIENT INFO
Want to join the Wheatland family?
Follow the simple directions below to save and fill out our new patient forms before your first appointment.
You may also print out and bring the forms along with any history or records to your first appointment. We look forward to meeting you and your pets.
INSTRUCTIONS FOR SUBMISSION:
**Please use a computer (no mobile devices) to save and fill out our forms. Thank you!
1. First, save the desired PDF file listed above by clicking the download button in the upper right corner.

2. Fill out the form by typing in the corresponding boxes.
3. Once complete, click the submit button located at the bottom of the form.
4. Finally, the completed form should attach to an email ready to be sent to us. If not, email the form to wah@wheatlandanimalhospital.com.
**indicating which form you are emailing in the subject line of the email.** If you printed your form, please bring the completed form to your first appointment.
Please use a computer (no mobile devices) to save and fill out our forms. Thank you!

CLIENT FORMS

New Patient Information Sheet

Canine Annual Health Checklist
