New Patient Form

Please fill out our New Patient Form using one of the options below if your pet is a new patient at Broadway Animal Hospital.

Book An Appointment

OPTION 1
Complete Online

Complete and submit the form below.

OPTION 2
Print & Complete

Bring the completed form with you.

Download Form

OPTION 3
Complete on Arrival

If you prefer, you can complete the form when you get to our hospital.

New Patient Form

Please provide us with the following information. 

Client Information

Patient Information

Photography Release Form

Broadway Animal Hospital uses public social media forms, as well as other digital and print media to promote pet health, educate the community about our services, and share the faces and stories of our beloved patients.

Primary Veterinarian Information

Please fill this section in if we are not your primary care veterinary hospital. By listing your primary care veterinarian, you are authorizing Broadway Animal Hospital to release patient information to the primary care hospital or veterinarian.

Payment Information

I understand I am financially responsible to Broadway Animal Hospital for all charges. I understand that payment is due in full at the time services are rendered. I agree to pay all interest, collection, legal, attorney or court fees in the event it becomes necessary to pursue the account for collection. We accept cash, major credit cards and Care Credit. Unless specifically requested, all pets needed emergency care while staying in our hospital will be treated until the owner / agent can be contacted.

By submitting this form, I agree to the above.

New Patients Always Welcome!

Looking for a vet in the Pacific Northwest? Whether your pet needs routine wellness exams, surgery, geriatric care or emergency care, we look forward to welcoming you to our family at Broadway Animal Hospital located in Everett. 

Learn More

(425) 252-8266