Lakeland Veterinary Hospital - Dr. Kurt Riemer
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New Client/Patient Information Form

    ​Primary Client/Owner Information




    Terms and Conditions​
    • Payment is due at time of service and must be paid in full
    • All animals entering our hospital must be up to date on vaccines and free of external parasites or they will be treated upon entry at your expense​

    Please fill out below if there are additional owners

    Patient Information

    To better serve your pet, patient history is important. Please list all Vet Clinics and their city/state where your pet has been seen. If possible, we will contact them for records so we have a full picture of your pets health and vaccination status.
    Chronic Illnesses, known allergies, behavioral concerns, nicknames, etc for general info only. NOTE: DO NOT INCLUDE THE REASON FOR YOUR NEXT APPT. We will get that information when you schedule.

    Please fill in this portion if you have an additional pet.


    If you have medical/vaccination records, you can upload them here or send via email to clientservices@lakelandvethosp.com​

    Max file size: 20MB
    Records will be reviewed within 3-5 business days and then one of our client service representatives will contact you to schedule and appointment.
    ​

    When you have completed filling the form, click the Submit button below.
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Location

Hours of Operation

Monday-Friday
7:30a-5:30p
Saturday
Closed
Sunday
Closed

Contact Us

18215 9th St E,  #106
Lake Tapps, WA 98391
Phone: ​
​(253) 862-6959
​Fax: (253) 987-7671
After Hours Emergency? Contact:
Summit Veterinary Referral Center
Blue Pearl Specialty + Emergency Pet Hospital (Tacoma)
Blue Pearl Specialty + Emergency Pet Hospital (Renton)
2505 S. 80th St. Tacoma, WA
2510 84th St. S, Suite 30D
​Lakewood, WA
4208 Lind Ave SW.
​Renton, WA
(253) 983-1114
(253) 474-0791
(206) 364-1660
  • Home
  • About
  • Services
  • Pricing
  • Our Team
  • Client Portal
  • New Client