Happy Pride Month!

Acupuncture Patient History

Thank you for choosing Wildwood Veterinary Clinic for your pet’s health care needs. So that we may better understand your pet’s medical history, please fill out the patient history form below prior to your pet’s first acupuncture visit.

You may complete the web form and submit it online below or click the button to download the form and submit via email, or print at home and bring a hard copy with you to your first appointment.

How to download and email the PDF form:

  1. Open the fillable PDF version of the form by clicking the button below.
  2. Download the blank form to your computer.
  3. Complete the fillable PDF form using your computer’s PDF reader program.
  4. Save the completed form as a new file and email it to the clinic as an attachment.

If you have any questions or issues with the form, please call us at (503) 477-4757.

New Acupuncture Patient History Form