New Client - Riverside Cat Hospital

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 Type	Phone Number

Address (required)
Street Address (required)

City (required) ,	State / Province (required)	Zip / Postal Code (required)

Phone (required)
Phone Type	Phone 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

Verify the reCAPTCHA:

My Pet's Medical Record

Click here to access your pet's
medical information online!

Make an Appointment

We will do our best to accommodate your busy schedule. Schedule an appointment today!

Online Forms

Our patient forms are available online so they can be completed in the convenience of your own home or office.