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New Patient Form

We ask that clients bringing a new patient to Badger Veterinary Hospital & Equine Services fill out the New Patient Form for the location they will be visiting using one of the options below.

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

Please fill out the new patient form for the hospital location of your appointment.

  • Janesville

    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 Badger Veterinary Hospital to release patient information to the primary care hospital or veterinarian.
    By submitting this form, I hereby authorize Badger Veterinary Hospital 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 the patient from Badger Veterinary Hospital.

  • Cambridge

    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 Badger Veterinary Hospital to release patient information to the primary care hospital or veterinarian.
    By submitting this form, I hereby authorize Badger Veterinary Hospital 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 the patient from Badger Veterinary Hospital.

  • Beloit

    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 Badger Veterinary Hospital to release patient information to the primary care hospital or veterinarian.
    By submitting this form, I hereby authorize Badger Veterinary Hospital 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 the patient from Badger Veterinary Hospital.

New Patients Welcome

Badger Veterinary Hospital & Equine Services is accepting new patients. Our team is passionate about the health of animals from across Southern Wisconsin. Contact our closest location to book your first appointment today!

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