Request an Appointment

Use this form to request an appointment. Our team will get back to you as soon as possible to confirm your appointment. Please note this is just a request and not a final booking for an appointment. If you are a new client who does not want to book an appointment at this time, please click here to fill out your new client information. If you have any questions, please contact us at 503-828-9818.

Type Of Client: *

New Client
Existing Client

Name *

First

Last

Email *

Phone Number *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Spouse's Name

First

Last

Secondary or Spouse's Phone

How did you hear about us?

Would you like to receive email reminders? *

Pet's Name *

Pet's Date of Birth/Age *

Pet Species *

Dog
Cat
Exotic

Breed (if applicable) *

Color

Current Meds (if applicable)

Sex *

Male
Female
Neutered Male
Spayed Female
Unknown

Prior Veterinarian

May we use photos of your pet for our social media pages and/or website? *

Yes, you have my permission to use my pet’s photos.
No, you do NOT have my permission to use my pet’s photos.

Add a photo of your pet to keep on file!

tttttttClick or drag a file to this area to upload.ttttt

Would you like to add information for another pet at this time? *

Pet's Name

Pet's Date of Birth/Age *

Pet Species *

Dog
Cat
Exotic

Breed (if applicable) *

Color

Current Meds (if applicable)

Sex *

Male
Female
Neutered Male
Spayed Female
Unknown

Prior Veterinarian

May we use photos of your pet for our social media pages and/or website? *

Yes, you have my permission to use my pet’s photos.
No, you do NOT have my permission to use my pet’s photos.

Add a photo of your pet to keep on file!

tttttttClick or drag a file to this area to upload.ttttt

Preferred Appointment Date and Time *

Date

Time

Please note: appointments are available between 9:00 am – 5:00 pm on Monday – Saturday.

Secondary Appointment Date and Time *

Date

Time

Please note: appointments are available between 9:00 am – 5:00 pm on Monday – Saturday.

Reason For Appointment *

Reason For Visit

Please specify the reason for your visit.

Please specify the reason for your visit. If you listed multiple pets, please also specify which pet the appointment is for.

Website

Request an Appointment

WellHaven Pet Health Cedar Hills3370 SW Cedar Hills BlvdBeaverton, OR 97005503-828-9818

WellHaven Pet Health Cedar Hills
3370 SW Cedar Hills Blvd
Beaverton, OR 97005
503-828-9818