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  • Chuckanut Valley Veterinary Clinic

    896 N. Burlington Boulevard, Burlington, WA 98233 US

    360-757-3722

  • The Chuckanut Valley Feline Center

    1214 Dupont Street, Bellingham, WA 98225 US

    360-671-7707

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New Patient Form

Please fill out our New Patient Form using one of the options below if your pet is a new patient at Chuckanut Valley Vet Clinic and Chuckanut Feline Center.

Option 1

Complete Online

Complete and submit the online form below.

Option 2

Complete on Arrival

If you prefer, fill out the form when you get to our hospital.

New Patient Form

Please fill out the new patient form for the hospital location of your appointment.

  • Chuckanut Valley Vet Clinic

    Owner Information

    Emergency Contact

    Patient Information

    Primary Veterinarian Information

    Please fill this section in if we are not your primary care veterinary hospital. By listing your primary care veterinarian, you are authorizing Chuckanut Valley Veterinary Clinic and Chuckanut Feline Center to release patient information to the primary care hospital or veterinarian.
    By submitting this form, I hereby authorize Chuckanut Valley Veterinary Clinic and Chuckanut Feline Center to render medical care for my pet(s) as deemed necessary by the veterinarian. I understand that no guarantee can be given to the outcome of treatments and take it as my responsibility to comprehend any risks involved. I agree to pay for the cost of all services to which I consent to by written or verbal estimate. I understand that a deposit is required before diagnostics and treatments can be initiated and that payment in full is required prior to discharge of patient from Chuckanut Valley Veterinary Clinic and Chuckanut Feline Center.

  • Chuckanut Feline Center

    Owner Information

    Emergency Contact

    Patient Information

    Primary Veterinarian Information

    Please fill this section in if we are not your primary care veterinary hospital. By listing your primary care veterinarian, you are authorizing Chuckanut Valley Veterinary Clinic and Chuckanut Feline Center to release patient information to the primary care hospital or veterinarian.
    By submitting this form, I hereby authorize Chuckanut Valley Veterinary Clinic and Chuckanut Feline Center to render medical care for my pet(s) as deemed necessary by the veterinarian. I understand that no guarantee can be given to the outcome of treatments and take it as my responsibility to comprehend any risks involved. I agree to pay for the cost of all services to which I consent to by written or verbal estimate. I understand that a deposit is required before diagnostics and treatments can be initiated and that payment in full is required prior to discharge of patient from Chuckanut Valley Veterinary Clinic and Chuckanut Feline Center.

New Patients Welcome

Chuckanut Valley Vet Clinic and Chuckanut Feline Center is accepting new patients! Our experienced vets are passionate about the health of Burlington and Bellingham companion animals. Get in touch today to book your pet's first appointment.

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