979-776-8996 [email protected]

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Highway 30 Veterinary Clinic

New Client Form

Thank you for choosing Highway 30 Veterinary Clinic! Please fill out the form as completely as possible.

Forms - new client form

New Client Submission Form

Name *

First

Last

Spouse/Alt Contact:

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Employer:

Primary Phone *

Work Phone

Cell

Spouse Cell

Email *

Additional contacts

Additional contacts

Phone

Earliest can call

Best time to call

How did you hear about us?

Pet Information

Pet's Name *

Species *

Dog
Cat

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Color

Special Markings

Allergies

Anxiety

Yes
No
Not Sure

Special Diet

Prior Veterinary Clinic

Prior Veterinary Clinic Phone Number

Current Medications/Supplements

Medical Diagnosis or History

Concerns and/or comments

Please circle items you would like to receive information on

Wellness Testing
Dental Health
Pain Management
Hair loss
Itching
Spay/ Neuter
Senior Wellness Testing
Heartworm/ Flea Preventative

Date *

Message

We're excited to meet you

Request an appointment

We proudly serve the pets of Bryan, College Station, Iola County, and beyond. Easily request an appointment for your pet using our online system!

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Contact Information

P: 979-776-8996
E: [email protected]

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Hours

Mon-Fri: 8am-5:30pm
(7:15am Drop-Offs)
Sat: 8am-Noon*
Sun: Closed

*We are open the 1st and 3rd Saturday of each month.

Address

4275 Deerfield Dr,
College Station, TX 77845

Have a question?

Contact us

For your convenience, drop-offs are welcome as early as 7:15 am. As a complimentary service, your pets are welcome to stay during the day until you return for them as your schedule allows. Please allow 1-2 business days for a reply to messages sent via this form.

For questions or concerns, please use the form below. If your matter is URGENT, please call us at 979-776-8996, and DO NOT use the form below.

Please Note: We are not able to answer medical questions via email.

Name *

First

Last

Email *

Phone

How can we help you? *

Comment

Convenience at Your Fingertips

Download our PetDesk app

Keeping up with your pet’s health from your mobile device has never been easier! With our new PetDesk app, you’ll have all of your pet’s health information in the palm of your hand. Plus, you’ll be able to communicate with us easily. You’ll be able to request appointments 24/7 and receive automatic reminders!

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