About Us
Services
Forms
- New Client Form
- Pet History Check-In Form
Pharmacy

Make Appointment

Call (360) 762-6182

Emergencies
Contact Us
Appointments

Request Appointment

Request Appointment

Ph: 360-887-1838|contact@northcountyvets.com

109 S. 65th Ave, Suite 106, Ridgefield, WA 98642 | Tues - Fri 8am - 5:30pm | Sat: 8am – 12pm | Sun-Mon: Closed

About Us
Services
Forms
- Pet History Check-In Form
- New Client Form
Pharmacy
Emergencies
Contact Us
Appointments

About Us
Services
Forms
- New Client Form
- Pet History Check-In Form
Pharmacy

Make Appointment

Call (360) 762-6182

Emergencies
Contact Us
Appointments

Request Appointment

Ph: 360-887-1838|contact@northcountyvets.com

109 S. 65th Ave, Suite 106, Ridgefield, WA 98642 | Tues - Fri 8am - 5:30pm | Sat: 8am – 12pm | Sun-Mon: Closed

About Us
Services
Forms
- Pet History Check-In Form
- New Client Form
Pharmacy
Emergencies
Contact Us
Appointments

Request Appointment

Call (360) 762-6182

Make Appointment

360-887-1838

New Client Form

Your Information

Name(Required)

First Last

Phone(Required)

Secondary Phone

Address(Required)

Street Address Address Line 2 City State ZIP Code

Email(Required)

Secondary Contact Name

First Last

Secondary Contact's Phone

How did you hear about us?(Required)

Drive-by/Sign

Google

Website

Facebook

Yelp

Nextdoor

Referral

Other

Who may we thank for the referral?(Required)

Pet Information

Pet Name(Required)

Age/Date of Birth(Required)

MM slash DD slash YYYY

Species(Required)

Dog

Cat

Exotic

Pocket Pet

If exotic or pocket pet, please specify.(Required)

Breed(Required)

Sex(Required)

Male

Female

Spay or neutered?(Required)

Spay

Neutered

Not spayed/neutered

Unknown

Does pet have a microchip?(Required)

Yes

No

Add a second pet?(Required)

Yes

No

Pet Name(Required)

Age/Date of Birth(Required)

MM slash DD slash YYYY

Species(Required)

Dog

Cat

Exotic

Pocket Pet

If exotic or pocket pet, please specify.(Required)

Breed(Required)

Sex(Required)

Male

Female

Spay or neutered?(Required)

Spay

Neutered

Not spayed/neutered

Unknown

Does pet have a microchip?(Required)

Yes

No

Add a third pet?(Required)

Yes

No

Pet Name(Required)

Age/Date of Birth(Required)

MM slash DD slash YYYY

Species(Required)

Dog

Cat

Exotic

Pocket Pet

If exotic or pocket pet, please specify.(Required)

Breed(Required)

Sex(Required)

Male

Female

Spay or neutered?(Required)

Spay

Neutered

Not spayed/neutered

Unknown

Does pet have a microchip?(Required)

Yes

No

Name of Previous Vet?(Required)

Previous Vet Contact Information(Required)

Would you like us to request medical records from previous caregiver?(Required)

Yes

No

Consent(Required)

I acknowledge that I am the owner or acting upon direct request of the owner of the pet(s) brought into this facility, and being over the age of 18, I accept all financial responsibility for any and all care rendered while at this facility and understand that payment is due in full at the time that services are rendered.

Signature(Required)

Date(Required)

MM slash DD slash YYYY

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Hospital Location

109 S. 65th Ave
Suite 106
Ridgefield, WA 98642
360-887-1838

About Us

Welcome to North County Animal Hospital (NCAH). When it comes to your pet’s health, we expect that you want the very best care. NCAH is committed to providing compassionate, affordable care. We take pride in staying current with treatment therapies and technology. We are your local veterinarian serving Ridgefield, LaCenter, Battle Ground, Woodland, Vancouver, and surrounding North Clark County Washington.

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