Client Pre-Registration Form

If you'd rather complete this form by hand, please click here, print the pdf, complete it and either bring it with you or fax it to 317-786-4484.

  yes      

  no

How did you hear about us?

Owner Information

State:

Zip Code:

Cell Phone:

Work Phone:

Patient Information

Breed:

Color:

  Male Intact      

  Female Intact      

  Male Neuter      

  Female Spay

Weight:

Financial Information

Home Phone:

Date of Birth:

Permission To Use Pictures

  I give      I do not give   IndyVet and its staff permission to post pictures of my pet on the IndyVet website, Facebook, or anywhere an IndyVet activity or event is being promoted or communicated. I understand that only his/her first name will be used on any posting. Pets will not be “tagged” in Facebook pictures; owners must “tag” themselves if they wish to be tagged in the picture.




IndyVet is AAHA Accredited
Donate to IndyVet's AVMF Fund
Care Credit
Fear Free
Cat Friendly Practice
IndyVet is AAHA Accredited
Donate to IndyVet's AVMF Fund
Fear Free
Care Credit
Cat Friendly Practice
IndyVet is AAHA Accredited

Donate to IndyVet's AVMF Fund

Care Credit

Fear Free

Cat Friendly Practice