Skip to Main Content

New Patient Form

We ask that our clients fill out our New Patient Form using one of the below options if your pet is a new patient with us at Legacy Animal Medical Center .

Option 1

Complete Online

Complete and submit the online form below.

Option 2

Complete on Arrival

If you prefer, fill out the form when you get to our hospital.

New Patient Form

Owner Information

Emergency Contact

Patient Information

Primary Veterinarian Information

Please fill this section in if we are not your primary care veterinary hospital. By listing your primary care veterinarian, you are authorizing Legacy Animal Medical Center to release patient information to the primary care hospital or veterinarian.
By submitting this form, I hereby authorize Legacy Animal Medical Center to render medical care for my pet(s) as deemed necessary by the veterinarian. I understand that no guarantee can be given to the outcome of treatments and take it as my responsibility to comprehend any risks involved. I agree to pay for the cost of all services to which I consent to by written or verbal estimate. I understand that a deposit is required before diagnostics and treatments can be initiated and that payment in full is required prior to discharge of patient from Legacy Animal Medical Center.

New Patients Welcome

At Legacy Animal Medical Center , we are always accepting new patients! Our veterinary team's experience and passion make all the difference to the patients at our animal medical center in Liberty Lake. Contact us today to book your first appointment.

Contact Us

Book Online Call (509) 926-8387

Design a Mobile Website
View Site in Mobile | Classic
Share by: