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527 S. Janesville St. Whitewater, WI 53190
262-473-2930
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Whitewater Veterinary Hospital offers our patient forms online so you can complete it in the convenience of your own home or office!
      If you do not already have Adobe Reader installed on your computer, Click Here to download.

  • Download the form, then send it to us via email, fax, or bring it with you to your appointment!
  • E-mail: WVH@WhitewaterVetHospital.com
  • Fax: 262-473-5040

New Patient Registration Form

This lets us record our pet and owners into our management software so that we can effectively and efficiently provide the service you deserve. If you have more than one pet, you can also fill out the form below!


Multiple Pet Registration Form

We know most people have more than one pet! Fill this in after you've completed the New Patient Registration Form.