 Call or Text 415-586-5327 … Medication Refill/Pick-Up … [email protected] …

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Please note: We will be closing at 6pm on Saturday, December 24th and closed on Sunday, December 25th.

We have a same-day appointments for urgent care cases!

CANCELLATION POLICY

Dear Client,
Our appointment times are limited. If you must cancel your appointment, we respectfully request a 24 hours notice. Missed appointments, appointments canceled with less than 24 hours notice, or no-shows will incur a fee of $35.00.
If you miss more than 3 appointments without notice, we reserve the right to charge you a fee of $75.00.
To cancel, please text or call us at 415-586-5327.
Thank you for your cooperation.

New Client Form

For accurate care and records, please fill out the form in its entirety.

Client Information

Owner's Name *

First

Last

Partner/Alternate Owner's Name

First

Last

Appointment Date / Time

Date

Time

Primary Cell Number *

To provide you with better and more convenient communications, you consent to be contacted via text messages.

Secondary Cell Number

Home Contact Number

Email Address *

(Ocean Avenue Vet will never sell or give your email address to 3rd parties)

Physical Address *

Address Line 1

Address Line 2

City

State

Zip Code

Driver's License # *

(Req. for controlled drugs)

Issuing State *

Exp. Date *

Owner's Date of Birth *

(Req. for controlled drugs)

Note: We DO NOT accept checks

Pet Information

Pet's Name *

DOB/Age *

Breed *

Color *

Sex *

Male
Female
Neutered Male
Spayed Female

Species *

Weight *

Micro-chipped? *

Yes
No

If yes, what number? *

Pet Insurance (If any)

Does your pet have any food allergies? *

Yes
No

If yes, explain *

Medication allergies? *

Yes
No

If yes, explain *

Does your pet have any past or present injuries or health concerns? *

Yes
No

If yes, what type of injuries or health concerns does your pet have? *

Heart Disease
Respiratory Disease
Seizures
Arthritis
Other

If other, please describe *

Are vaccinations up to date? *

Yes
No
Not Sure

When and where given?

Please list previous veterinarian (if applicable)

Please upload any medical records for your pet(s).

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

My pet becomes unfriendly when: *

Grabbed by collar
Hugged
Around other dogs
Cage aggressive
Touched on ears
Touched on paws/tail
Touched on mouth
Touched on back
Friendly

Would you like to add information for a second pet? *

Yes
No

Pet's Name *

DOB/Age *

Breed *

Color *

Sex *

Male
Female
Neutered Male
Spayed Female

Species *

Weight *

Micro-chipped? *

Yes
No

If yes, what number? *

Pet Insurance (If any)

Does your pet have any food allergies? *

Yes
No

If yes, explain *

Medication allergies? *

Yes
No

If yes, explain *

Does your pet have any past or present injuries or health concerns? *

Yes
No

If yes, what type of injuries or health concerns does your pet have? (copy) (copy) *

Heart Disease
Respiratory Disease
Seizures
Arthritis
Other

If other, please describe *

Are vaccinations up to date? *

Yes
No
Not Sure

When and where given?

Please list previous veterinarian (if applicable)

Please upload any medical records for your pet(s).

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

My pet becomes unfriendly when: *

Grabbed by collar
Hugged
Around other dogs
Cage aggressive
Touched on ears
Touched on paws/tail
Touched on mouth
Touched on back
Friendly

Would you like to add information for a third pet? *

Yes
No

Pet's Name *

DOB/Age *

Breed *

Color *

Sex *

Male
Female
Neutered Male
Spayed Female

Species *

Weight *

Micro-chipped? *

Yes
No

If yes, what number? *

Pet Insurance (If any)

Does your pet have any food allergies? *

Yes
No

If yes, explain *

Medication allergies? *

Yes
No

If yes, explain *

Does your pet have any past or present injuries or health concerns? *

Yes
No

If yes, what type of injuries or health concerns does your pet have? *

Heart Disease
Respiratory Disease
Seizures
Arthritis
Other

If other, please describe *

Are vaccinations up to date? *

Yes
No
Not Sure

When and where given?

Please list previous veterinarian (if applicable)

Please upload any medical records for your pet(s).

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

My pet becomes unfriendly when: *

Grabbed by collar
Hugged
Around other dogs
Cage aggressive
Touched on ears
Touched on paws/tail
Touched on mouth
Touched on back
Friendly

Would you like to add information for a fourth pet? *

Yes
No

Pet's Name *

DOB/Age *

Breed *

Color *

Sex *

Male
Female
Neutered Male
Spayed Female

Species *

Weight *

Micro-chipped? *

Yes
No

If yes, what number? *

Pet Insurance (If any)

Does your pet have any food allergies? *

Yes
No

If yes, explain *

Medication allergies? *

Yes
No

If yes, explain *

Does your pet have any past or present injuries or health concerns? *

Yes
No

If yes, what type of injuries or health concerns does your pet have? *

Heart Disease
Respiratory Disease
Seizures
Arthritis
Other

If other, please describe *

Are vaccinations up to date? *

Yes
No
Not Sure

When and where given?

Please list previous veterinarian (if applicable)

Please upload any medical records for your pet(s).

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

My pet becomes unfriendly when: *

Grabbed by collar
Hugged
Around other dogs
Cage aggressive
Touched on ears
Touched on paws/tail
Touched on mouth
Touched on back
Friendly

I consent and authorize OAVH to take my pet(s) photos and post it on their social media. *

I consent
I DO NOT consent

Consent for Examination and Treatments

I certify that I am at least 18 years old and I own the above-described pet and I do hereby consent and authorize the Ocean Avenue Veterinary Hospital doctors and staff to admit my pet into the hospital while I am not present and to examine, administer vaccinations, and medications necessary for the health, safety, or well-being of the above pet while it is under their care and supervision, as agreed upon by me. *

I consent

Signature of Owner/Guardian: *

Date *

Name

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We proudly serve the pets San Francisco and beyond.

Ocean Avenue Veterinary Hospital is proud to serve the San Francisco, CA area for everything pet-related. Our veterinary clinic and animal hospital is run by Dr. Shikher Singla. If you need anything at all, please don't hesitate to reach out. We're here for you and your pet seven days a week.



Location

1001 Ocean Ave.
San Francisco, CA 94112

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Contact Us

P: 415-586-5327 (call or text)

Option 1 to schedule a vaccine appointment, general exam, and technician appointment only.
Option 2 to request a prescription refill.
Option 3 to request an invoice and or medical records.
Option 4 for all other appointments, same-day appointments, urgent care, or emergency.

F: 415-586-5332
E: [email protected]
(to schedule an appointment, medical issue, or to request records)

E: [email protected]
(For suggestions or complaints ONLY)

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Hours

Mon - Fri: 8:00 am - 10:00 pm
Sat - Sun: 8:30 am - 10:00 pm

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