Become a New Client Serving Dog and Cat Owners in the Sequim & Port Angeles, WA Areas

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Blue Mountain Animal Clinic can’t wait to welcome you and your pet to our practice. You can expect a team that’s focused on forging a lasting bond and guiding you through every step and hurdle of your pet’s lifelong care. To become a new client of ours, start by completing our New Client Form. This form gives us important information about you and your pet, and helps us prepare for your first visit.

Let us know if you have any questions by calling (360) 457-3842!

New Client History
Owner Name
Owner Name
First
Last
Co-Owner Name
Co-Owner Name
First
Last

Pet Information

Pet Type
Sex
Please describe
Previous Records Available?
Please list contact information for previous records
plus1 Add a Pet minus1 Remove a Pet
Physical Address
Physical Address
City
State/Province
Zip/Postal
Mailing Address Same as Physical
Mailing Address
Mailing Address
City
State/Province
Zip/Postal
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How did you hear about our clinic?
I am the owner of the animal or am responsible for it and have the authorization to execute this consent. I hereby authorize the treatment of this animal and performance of such medical, surgical, or therapeutic procedures you determine to be indicated and use of such anesthetics as you deem advisable. I understand that all professional fees are due at the time of service. It is agreed that past due accounts are subject to maximum allowed per month late charges, and in addition, all costs of collection including a reasonable attorney’s fee.
I grant permission to use any photographs taken of myself or my pet, in any and all of its publications, including website and social media entries, without payment or any other consideration. I hereby authorize to edit, alter, copy, exhibit, publish or distribute this photo for purposes of publicizing your programs or for any other lawful purpose. In addition, I waive any right to royalties or other compensation arising or related to the use of the photograph. I hereby release rights to all claims, demands, and causes to action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf of my estate have or may have by reason of this authorization. In signing this consent, I give authorization to use my name and my pet’s name and information as printed below.
At Blue Mountain Animal Clinic, our priority is the health and well-being of your pets, delivered in a safe and stress-free environment. This Mutual Code of Conduct Agreement ensures a positive experience for everyone. By signing this agreement, clients agree to treat staff and fellow clients with respect and kindness, communicate concerns constructively, ensure responsible pet ownership and adhere to local laws, and respect privacy and confidentiality. In return, Blue Mountain Animal Clinic commits to providing exceptional veterinary care, treating clients and pets with respect and courtesy, communicating openly and professionally, and protecting client and pet privacy. By signing this agreement, both parties commit to fostering a respectful and positive environment for the best care of pets and the well-being of our team.
VIDEO AND AUDIO SURVEILLANCE For the safety and security of all guests and staff, please be advised that this business is equipped with surveillance cameras that record activity in and around the premises. By entering, you consent to being recorded. These recordings are used for security purposes, including monitoring for safety and compliance with company policies. We take privacy seriously and ensure that all recordings are handled in accordance with applicable laws and regulations.