NEW PET FORM

Please complete the form below prior to your visit at Kenwood Pet Clinic.

*Indicates a required field.

OWNER INFORMATION

Primary Owner

Name

Address

Contact Info

Secondary Owner

Name

Contact Info

PATIENT INFORMATION

  •   Canine       Feline       Other      
  •   Male       Female
  •   Yes       No
  •   Yes       No       I don't know

*HOW DID YOU CHOOSE US?

  • Previous animal

    Internet (Google, Yelp, other?):

    Personal recommendation - Whom may we thank?

    Other:

*MEDICAL RECORD RELEASE

  • I authorize Kenwood Pet Clinic to release vaccination and / or medical record information to:

    Boarding facilities Grooming facilities Veterinary hospitals Rescue organizations

    Other or specific facilities:

  • I do NOT authorize Kenwood Pet Clinic to release vaccination and / or medical record information without my prior consent.

Accounts must be paid in full at time of service by Cash Check or Credit Card

Call Today
612-377-5551
Kenwood Quicklinks
Location | Hours | Emergencies
Pet Of The Month
Kenwood's Pet Of The Month - Lucy

Name: Lucy
Read my bio!

Past Pets of the Month

Phone  612-377-5551     Fax  612-377-5569
Email  management@kenwoodpetclinic.com
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Schedule an Appointment

Please call us for urgent, same-day or next-day appointments. Please call to schedule an appointment if your pet is sick or needs an urgent appointment or if you are wishing to schedule a surgery.