Search

 

September 10, 2010

   more...




Frontier Veterinary Hospital

4500 N.E. Cornell Rd
Hillsboro, OR
97124

Ph: 503-648-1643
Fax: 503-648-6465

Hours of Operation:
M-Th: 7am - 8pm
Fri: 7am - 7pm
Sat: 8am - 5pm
Sun: 10am - 2pm


HomeContact UsWebsite Registration
 Printable Version   

Website Registration

Thank you for considering our hospital as your pet’s provider of veterinary services. We are dedicated to maintaining the health of your pet and look forward to many future years together. To serve you better, we have several internet-based service options (please note that each service requires separate sign up):

  • Website registration: using the form below, allows you submit photos to our Pet Gallery. If you would like us to use this information to set up a medical account, please indicate in the notes section.
  • Pet Portals: allows you check your pet(s)'s vaccine information, request non-urgent appointments, and inquire about boarding arrangements. Please click here to access our Pet Portals homepage.
  • Online Pharmacy: clients are able to request refills on their pet's medication, which are shipped (usually at no cost) directly to your door.  Requires a separate login; please click to access our online pharmacy.

Questions or concerns? Email us here!

You will be asked to select a password, which must be at least 4 characters in length. Ensure this is something you will easily remember. This password will be needed to access client only areas of our site.


Client Information
Owner´s Name
Salutation
*First Name:
*Last Name:
*New Password:
*Confirm Password:
Co-owner´s Name:
Salutation:
First Name:
Last Name:
Address
*Country:
*State/Province:
*City/Town:
*Address 1:
Address 2:
*Zip/Postal Code:
*Day-Time Phone: ( ) -
*Evening Phone: ( ) -
Mobile Phone: ( ) -
*E-Mail:
*Confirm E-Mail:
Co-Owner´s Contact Information
Day-Time Phone: ( ) -
How did you find out about our practice?
Clinic Location Website Yellow Pages
Clinic Sign Newspaper Personal Referral
Other
If Other, Please Specify:
If Personal Referral, is there Someone we can Thank for this Referral?
Please use this area to give us any other relevant information about yourself or your family

  Pet Information
*Pet´s Name:
*Species:   or if other species:
Breed (If Known):
Color:
Date of Birth:
Special Identification
(Tattoo, Microchip, etc):
Sex:  
Previous Veterinary Practice (If Any):
Previous Veterinarian (If Any):
Date of Last Vaccines (if known, yyyy/mm/dd)
What Vaccines were given at this Time:
Is your Pet on any Medication or Supplement?
Yes
No
If Yes, Please List the Medication or Supplement:
What food does your pet eat?
Please type answer here:
Does your Pet have Allergies or Drug Reactions?
Yes
No
Are there any Current or Past Medical Conditions of which we should be Aware?
Yes
No
If Yes, Please Comment on the Condition(s) and Indicate if they are Current or Past Conditions:
Please use the following box to give us any other relevant information about your pet:

Please enter the validation code to the right to complete registration. [javascript must be enabled]
 

 
Site Map