May the Paws Be With You! An Open House event at Touhy Animal Hospital on May 4th from 10 am - 12 pm.

50% OFF Vaccine Day Each Thursday! (Rabies, Distemper, Bordetella Vaccines Only)

Appointment
Check-In Form

Save time during your next appointment! Complete your required
forms online from any device at any time before your visit.

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Appointment Check-In Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pet before your visit.

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Your Name *

First

Last

Email *

Pet's Name *

I am the owner or the authorized agent for the owner of the animal described above, and I have the authority to execute this consent. My signature below certifies that I am over eighteen years of age. I have confirmed my address and contact information to be up to date. I accept that my financial obligations remain at time of services rendered. I have read and understand this authorization and hereby accept and agree to the terms of the consent for treatment. *

Initial here

I agree to pay in full at the time of my appointment. Past due invoices will incur a monthly 5% finance charge. Account more than 60 days past due will be sent to our collections agency. *

Initial here

I understand that any appointment/consultation with a veterinarian will incur an exam fee. *

Initial here

I understand that I cannot return dispensed medication after payment has been processed and I have left the premises. *

Initial here

I understand that Touhy Animal Hospital will not authorize any prescription refills through email, phone or fax for 3rd party online pharmacies (such as Chewy, PetMeds, etc.). Please request a written script at the time of your visit. I take full responsibility for products purchased on those platforms. *

Initial here

I agree to act in a courteous manner to all Touhy Animal Hospital personnel. *

Initial here

I consent for Touhy Animal Hospital to take pictures of my pet to use on social media platforms. *

Best phone number to reach you at today: *

Please note:

Cancellations made with less than a 24 hour notice significantly limits our ability to make the appointment available for another patient in need. Appointment cancellations with less than 24 hours notice will incur a $42.00 charge. Grooming appointments with less than 48 hours notice will incur a $42.00 charge. Surgery/Specialist appointments with less than 48 hours notice will forfeit their deposit.

Please allow 24 hours for all medication refills and food order requests

Don’t forget about our 50% off Vaccine Day every Thursday! (only valid on rabies, distemper, and bordetella vaccines)

Save $$$ and enroll in our loyalty program, download the Pet Desk app and opt in to start earning discounts on services!

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Date *

Website

May the Paws Be With You! An Open House event at Touhy Animal Hospital on May 4th from 10 am - 12 pm.

Appointment
Check-In Form

Appointment Check-In Form

Touhy Animal Hospital

Business Hours

We Proudly Serve
Pets of Park Ridge, IL
and Beyond

May the Paws Be With You! An Open House event at Touhy Animal Hospital on May 4th from 10 am - 12 pm.

AppointmentCheck-In Form

Appointment Check-In Form

Appointment
Check-In Form