New Client Information Form

Name: Union Lake Veterinary Hospital
Address: 6545 Cooley Lake Rd., Waterford, MI, 48327, United States
Telephone: 248-363-1508
Price range: $

3

Please fill out the form as completely as possible prior to your appointment in order to expedite the check-in process. Thank you!

Name *

First

Last

Email *

Spouse's Name

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Mobile Phone

Home Phone

Driver's License Number

Pet Information

Pet's Name *

Species *

Breed

Sex

Male
Female
Neutered Male
Spayed Female

Age or Date of Birth

Coat Color

Weight

Medical conditions or concerns

Vaccine History (Date Given)

Bordetella

Intestinal Parasite Screen (Fecal)

Heartworm Test

Rabies Vaccine

Distemper Vaccine

Lyme Vaccine

Lepto Vaccine

Comment

Compassionate care 7 days a week.

Since 1974, Union Lake Veterinary Hospital has been providing pets in Waterford, West Bloomfield, and surrounding areas with state-of-the-art care.

Please note: Our prices are subject to change. For the most up-to-date pricing, please call our office.

Location

6545 Cooley Lake Rd.
Waterford, MI 48327
Click here for directions.

Hours

Mon-Fri: 7:00am – 8:00pm
Sat-Sun: 8:00am – 6:00pm

Contact Info

Phone: 248-363-1508
Fax: 248-363-7505
Email: ulvh@msn.com

Get in touch!

Ready to come see us?

Request an appointment online! We can't wait to see you and your furry friends.

APPOINTMENT