Grasshoff Veterinary Clinic

6564 FM 1960 West
Houston, TX 77069

(281)537-6985

www.grasshoffveterinaryclinic.com

New Client Check In

If you would like to make an appointment, you can assist us to expedite your check in by submitting this form.

Thank you for your cooperation in letting us assist you.

New Client

Name *(required)*

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Daytime Phone (required)
Phone Type	Phone Number (required)

Evening Phone (required)
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E-Mail Address (required) :

Pet's Name (required)

Age: Years, Months (required)

Type of Pet (required) :

Breed: (required)

Color: (required)

Sex: (required)

Male
Female

Neutered/Spayed (required)

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Are your pets vaccines current? (required)

Yes
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Pet's Medical records at another veterinary Practice? (required)

Yes
No

Name of Former Veterinary Practice (required)

Pet's Medical records need to be forwarded by owner / previous vet clinic when a new appointment is requested.

Email to: contacts@grasshoffveterinaryclinic.com or Fax to: (281) 537-7912

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HOURS

Day	Open	Close
Monday	7:30am	6:00pm
Tuesday	7:30am	6:00pm
Wednesday	7:30am	6:00pm
Thursday	7:30am	6:00pm
Friday	7:30am	6:00pm
Saturday	Closed	Closed
Sunday	Closed	Closed

*CLOSED Saturday's - We are available between 8:30 am and 10:00 am ONLY for drop off boarders and boarding pickups with PRIOR reservations

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