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New Patient Form

At this time it is difficult for us to accept new patients into our busy clinic, contact us directly for more details. 

Contact us

Option 1

Complete Online

Complete and submit the online form below from the comfort of your home.

Option 2

Complete on Arrival

You can fill out the form when you arrive at the hospital before your pet's appointment.

New Patient Form

Owner Information

Emergency Contact

Patient Information

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 Siskiyou Veterinary Hospital to release patient information to the primary care hospital or veterinarian.
By submitting this form, I hereby authorize Siskiyou Veterinary Hospital to render medical care for my pet(s) as deemed necessary by the veterinarian. I understand that no guarantee can be given to the outcome of treatments and take it as my responsibility to comprehend any risks involved. I agree to pay for the cost of all services to which I consent to by written or verbal estimate. I understand that a deposit is required before diagnostics and treatments can be initiated and that payment in full is required prior to discharge of patient from Siskiyou Veterinary Hospital.

Taking Care Of Cats & Dogs in Medford and the Surrounding Area

Siskiyou Veterinary Hospital's knowledgeable and dedicated vets are passionate about the health of Medford companion animals. 

Contact Us

(541) 773-1335 Contact