Call or Text: (262) 326-3100

Our Muskego, WI Practice

Star Veterinary Center

  • Home
  • About
    • Our Team
  • New Clients
    • Specials & Promotions
    • Payment Options
    • Online Forms
  • Services
  • Online Pharmacy
  • Contact
Appointments

New Patient/Client Registration Form

"*" indicates required fields

Owner’s Information

Name*
MM slash DD slash YYYY
Address*
Is it cell?
Please Note: A Co-Owner has permission to make medical and financial decisions.
How did you find out about our practice?*
What Social Media Platforms do you use?*

Pet’s Information

(applies to pets adopted from Woof Gang Rescue)
Microchip

Medical Information

Do we have your permission to collect records?*
Are there any current or past medical conditions we should be aware of?*
Are there any other pets in the home?*
Do you have another pet you would like to register with our practice today?*

2nd Pet

(applies to pets adopted from Woof Gang Rescue)
Microchip

Medical Information

Do we have your permission to collect records?*
Are there any current or past medical conditions we should be aware of?*
Are there any other pets in the home?*

Photo Consent:

We love social media! Do we have your permission to share your pet(s)’ image/video/story on social media, our website & other forms of related media? Your name and personal information will never be shared*

Pet Health Savings Plan

Say Goodbye to full price with our In-House Savings Plan! Not only will you save 20% on every invoice at every visit, your pet will also receive a FREE Rabies vaccine!

Treatment Consent

Upon signing this agreement, I certify I am the Owner/Authorized Agent of the above pet(s) and have authorization to consent to treatment if and when needed. I authorize the American Veterinary Hospital to examine, prescribe for and/or treat the above pet(s).*
I recognize that financial concerns should be discussed PRIOR to exams & treatment.*
I understand I am entitled to ask for and be provided with a written estimate of fees regarding services and/or products prior to services being performed.*
I assume full responsibility for all charges incurred and understand these incurred charges are to be paid, IN FULL, at the time the services are rendered.*
MM slash DD slash YYYY
This field is for validation purposes and should be left unchanged.

Find Us Here

Address S73 W16790 Janesville Rd.
Muskego, WI 53150
Hours

Monday: 8 am – 6pm
Tuesday: 8 am – 6pm
Wednesday: 8am – 6pm
Thursday: 8 am – 6pm
Friday: 8 am – 6 pm
Saturday: 9 am – 1pm
Sunday: Closed

Phone (262) 326-3100
Fax

(262) 326-3104

Get In Touch

  • This field is for validation purposes and should be left unchanged.
Contact Us

Star Veterinary Center

(262) 326-3100

S73 W16790 Janesville Rd.
Muskego, WI 53150

  • Home
  • About
  • New Clients
  • Appointments
  • Services
  • Contact

© Star Veterinary Center
Sitemap | Accessibility | Website by DOCTOR Multimedia

Call Us Text Us
Skip to content
Open toolbar

Accessibility Tools

  • Increase Text
  • Decrease Text
  • Grayscale
  • High Contrast
  • Negative Contrast
  • Light Background
  • Links Underline
  • Readable Font
  • Reset