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White Rock Veterinary Hospital in Pflugerville, Texas
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    • Breeding Services
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    • Medical Services
    • Nutritional Counseling
    • Preventive Services
    • Surgical Services
    • Wellness and Vaccination Programs
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    • New Client Information Form
    • Reptile/Amphibian Patient History Form
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    • Photo Release Form
    • Cushing’s Questionnaire Form
  • Pet Portal
    • View My Pet’s Medical Record
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New Client Registration Form

Thank you for considering our hospital as your pet’s provider of veterinary services. We are dedicated to maintaining the health of your pet and look forward to many future years together. Please complete this from as fully as possible prior to your first appointment which will help expedite the registration process and give us valuable insight in providing optimal care for your pet(s). The required sections have a red * asterisk.
  • Appointment Date and Time

  • Date Format: MM slash DD slash YYYY
  • :
  • Owner's Name and Information

  • Address

  • Co-owner's Name & Contact #

  • Pet Information

  • White Rock Veterinary Hospital does not share your information with any other establishments or individual. The
    information requested on this form is required to set up and maintain a file with White Rock Veterinary Hospital
    For your convenience, we accept cash, personal checks, Visa, Master Card and Discover. Payment is expected at the time
    services are performed. When more extensive care is necessary, financial arrangements can be made with our hospital
    through Care Credit or Citi Health Card.
    I also agree should it become necessary to forward my account for collection proceedings, in addition to the amount I
    owe, I will also be responsible for the fees associated with the costs of collections.
  • Unless declined I understand that my pet's photo may be used on White Rock Veterinary Hospital's website and social media to help maintain, expand, and educate the public about our services.
  • Date Format: MM slash DD slash YYYY
  • *There will be a $25.00 cancellation fee for any missed appointments without 24 hours prior notice.*
  • Section Break


Get In Touch With Us

Contact UsBook An Appointment

Location

2509 Pecan St. W
Pflugerville, Texas, 78660

Contact Us

Phone: (512) 670-5400
Email: info@whiterockvet.com

Hours

Mon – Fri 7am – 6pm
Sat 8am – 12pm
Sun Closed

Emergencies

For emergencies, we recommend:

Central Texas Veterinary Specialty & Emergency Hospital.

Location: 301 Chisholm Trail Round Rock, Texas 78681

Phone: 512-892-9038

For small mammal emergencies, we recommend that you call the location before your arrival.

© 2022 White Rock Veterinary Hospital in Pflugerville, Texas.
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  • Home
  • About Us
    • What to Expect
    • Our Hospital
    • Take A Tour
    • Team
    • Payment Information
  • Services
    • Additional Services
    • Alternative and Complementary Therapy
    • Anesthesia and Patient Monitoring
    • Breeding Services
    • Exotic Pet Medicine and Surgery
    • Health Screening Tests
    • Medical Services
    • Nutritional Counseling
    • Preventive Services
    • Surgical Services
    • Wellness and Vaccination Programs
  • Pet Health
    • Illustrated Articles
    • How-To Videos
    • Pet Health Checker
    • News
    • Pet Insurance Info
    • FAQs
  • Links
    • MyPetED
    • American Veterinary Medical Association
    • American Animal Hospital Association
  • Book An Appointment
  • Client Forms
    • New Client Information Form
    • Reptile/Amphibian Patient History Form
    • Exotic Companion Mammal Patient History Form
    • Photo Release Form
    • Cushing’s Questionnaire Form
  • Pet Portal
    • View My Pet’s Medical Record
  • Online Store