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(713) 344-1570 | 10555 Pearland Pkwy Suite K, Houston, TX 77089

Haven Veterinary Clinic

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New Client Form

Step 1 of 4

25%
  • First Pet

  • NameBreedMicrochip#Date of BirthColorSexSpayed or Neutered
  • RabiesDAPPBordetellaLymeLeptoCanine Influenza 
  • RabiesFELVFVRCP 
  • Second Pet

  • NameBreedMicrochip#Date of BirthColorSexSpayed or Neutered
  • RabiesDAPPBordetellaLymeLeptoCanine Influenza 
  • RabiesFELVFVRCP 
  • Third Pet

  • NameBreedMicrochip#Date of BirthColorSexSpayed or Neutered
  • RabiesDAPPBordetellaLymeLeptoCanine Influenza 
  • RabiesFELVFVRCP 
  • If you elect to not allow release of any information, the only person we will communicate with is the actual owner(s) on file and written approval will be needed for anyone else other than required by law

  • I hereby authorize the veterinarians to examine, prescribe for, or treat my pet(s). I assume full responsibility for all charges incurred in the care of this/these animal(s). I also understand that these charges will be paid in full at the time of release and that a deposit may be required for certain surgical treatments or other procedures

  • Written Financial Policy

  • Our office accepts:

    • Cash, Visa®
    • MasterCard®
    • American Express®
    • Discover Card®
    • CareCredit® Healthcare Credit Card

    Haven Veterinary Clinic requires payment to be due as services are rendered and do not offer payment plans.

    For patients with insurance we are happy to work with your carrier to maximize your benefit and provide you with the documentation you need to receive reimbursement for your treatment.

    Haven Veterinary Clinic does not accept any type of checks.

  • Haven Veterinary Clinic Zoonotic Disease Exposure

  • According to the US Government’s Centers for Disease Control (CDC), an estimate of 6 Million Americans are infected with diseases/parasites that are transmitted from pets (both dogs and cats) to humans. These are called zoonotic diseases and can cause potentially serious health problems in people including, but not limited to, skin rashes, intestinal disease, blindness, seizures, meningitis, kidney disease, and death. To help protect your family as well as your pet, we follow pet care guidelines established by the US Government’s Centers for Disease Control (CDC) and other national pet health organizations to make every effort to test for and/or prevent potential threats to human health that may be introduced by your pet. Any individual who is in contact with or share your pet’s indoor/outdoor environment is potentially at risk. The risk of human exposure to many of these disease/parasites can be greatly reduced by protecting the pet through proper immunization and parasite prevention. Please sign below that you have been made aware of the recommendations; and you understand the information given to you about the importance of intestinal parasite testing and control/prevention of diseases that may affect you, your family, or the community. I understand that refusal of any of these procedures leaves my pet and family members vulnerable to exposure to diseases/parasites that may cause serious illness or death, and I accept full responsibility for the decision.
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Contact Our Hospital

10555 Pearland Pkwy Suite K
Houston, TX 77089

Hours of Operation
Monday: 8am to 6pm
Tuesday: closed
Wednesday: 8am to 5pm
Thursday: 8am to 5pm
Friday: 8am to 5pm
Saturday: 8:30am to 12:30pm
Open the 1st, 2nd and 3rd Saturdays of the month

Closed Major Holidays
For after hour emergencies please contact:
288 Animal Emergency Clinic at 713-482-4592

Request appointments online or call today.
Phone: 713-344-1570
Email: havenvethouston@gmail.com

Fax: 866-928-4003
Forms of Payment: cash, MasterCard/Visa/Discover, (no checks or traveler checks accepted). We also accept CareCredit

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