New Client FormSeven Hills Veterinary Hospital

Save time during your next appointment! Please fill out our hospital New Client Form online from any device at any time before your visit.

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New Client Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit.

Name *

First

Last

Email *

Primary Phone *

Secondary Phone

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Co-Owner's Name

First

Last

Co-Owner's Primary Phone

Co-Owner's Secondary Phone

Co-Owner's Email

Emergency Contact Name *

First

Last

Authorizations

This person is authorized to make medical decisions in my absence for my pet.
This person is authorized to share medical records for my pet.

Emergency Contact Phone *

Emergency Contact Email *

Which Veterinary Clinic did you last take this pet(s) to? *

How did you hear about us? *

If you were referred by another client, please include their name.

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Color/Markings *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

What is the microchip number? *

Allergies/Important Medical Information

If you have your pet's records, you can upload them here:

Click or drag files to this area to upload. You can upload up to 10 files.

If you have a cute photo of your pet, you can upload them here:

Click or drag a file to this area to upload.

Reminders for your pets vaccines, health, appointments, etc. *

Please remind me any way you can (including electronic)
Only remind me with email

Your pet's reminders will be sent via email and text unless otherwise specified.

Social Media Consent *

You can post my pet's photo on social media
Do not post my pet's photo on social media, only in their medical record

Can we post your pet's image on our facebook page?

In California a current Veterinary Client Patient Relationship must be maintained by a yearly physical examination of your pet in order to dispense medications, treatments, and procedures? *

I have read and understand

The undersigned hereby acknowledges that he/she is entering into an agreement with Seven Hills Veterinary Hospital for veterinary services. I have read the above and hereby authorize the veterinarian to examine, prescribe for, or treat the above pet(s I assume responsibility for all charges incurred in the care of my pet, and I understand that all fees are due at the time services are rendered. *

I have read and understand

Signature *

Date *

Phone

Ready for a visit?

Seven Hills Veterinary Hospital provides veterinary care for pet owners in San Francisco, Diamond Heights, Noe Valley, Glenn Park, Bernal Heights, and Castro. It is an honor to be trusted with your pet’s care.

Appointment

Questions?

Get in touch! Complete our online form, and a member of our team will be in touch with you shortly.

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Our Location

5264 Diamond Heights Blvd
San Francisco, CA 94131

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Contact Information

Phone: 415-642-7200
Fax: 415-642-7201
Email: sevenhills@dvm.com

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Hours

Monday-Saturday: 8:30 AM – 6:00 PM
Sunday: Closed

Name *

First

Last

Email *

Phone

How can we help you? *

Website

It is an honor to be trusted with your pet's care!

Please call the clinic to schedule your pet's appointment with Seven Hills Veterinary Hospital.

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