Riverside Cat Hospital

4632 Okemos Rd
Okemos, MI 48864

(517)347-2287

www.riversidecathospital.com

New Client Check In

If you are new to our hospital, you can assist us to expedite your check in by submitting this form.  Please Contact Us to schedule an appointment.

Thank you for your cooperation.

New Client Form

Name (required)
First Name (required)
Last Name (required)
Name (Additional Person on Account)
First Name
Last Name
Additional Person's Phone Number
Phone TypePhone Number
Address (required)
Street Address (required)
City (required)
,
State / Province (required)
Zip / Postal Code (required)
Phone (required)
Phone TypePhone Number (required)
E-Mail Address :
Pet's Name (required)

Pet's gender (required)

Male
Female


Neutered/Spayed? (required)

Yes
No


Breed/Color

Pet's age or date of birth (required)

Reason for appointment (required)

Routine checkup or vaccinations
New pet
Illness


Would you like us to contact you to schedule an appointment? (required)

Yes
No


If you have an appointment scheduled, please list the date and time.

Once we receive your information, you will get an invitation to our Petly portal where you can access your cat's personalized health page.
Appointment cancellation policy:
PLEASE READ:
This policy has been established to ensure we can provide the highest level of care to all of our patients. If you must cancel an appointment, we ask for at least 24 hours' notice without being subject to a $25.00 cancellation fee. No call no show appointments will be charged the equivalent to the exam fee and will not be rescheduled until fee is paid. By submitting this form, you have read and understand our cancellation and no call no show policy.
Acknowledgement (required)
I agree
I Disagree
Do we have your permission to post photos of your cat to our social media pages? (required)

Yes
No



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