New Patient Form

Welcome!

Thank You For Choosing The Maywood Veterinary Clinic

If your pet is scheduled for their first appointment with us, please fill out the form below and we will be in contact with you shortly!

  • Please enter the first name of the pet's owner.
  • Please enter the last name of the pet's owner.
  • Please enter your mobile phone number.
    This isn't a valid mobile phone number.
  • Please enter your email address.
    This isn't a valid email address.
  • Please enter your street address.
  • Please enter your city.
  • Please enter your state.
  • Please enter your postal code.
  • Please enter date.
  • Please enter the name of your pet.
  • Please enter the species of your pet.
  • Please enter the breed of your pet.
  • Please enter the age of your pet.
  • Please make a selection.
  • Please make a selection.
  • Please enter your previous veterinarian.

The Maywood difference

  • We're Pet People

    We understand the bond between humans and animals and genuinely care about their health and your happiness.

  • AAHA Accredited Animal Hospital

    Only 15% of animal hospitals are accredited with the American Animal Hospital Association. We always strive to uphold the highest standards in professional pet care.

  • Thoughtful Guidance & Advice

    We provide information and materials to help you understand your pet's diagnosis and make informed decisions.

  • On-Site Pharmacy and Shop

    We offer a well-stocked pharmacy and an on-site retail area with pet treats, prescription diets and other pet supplies.

Quality care at affordable prices

Visiting the vet doesn't have to be scary! Check out our coupons and specials!

PETS & OWNERS LOVE US

READ OUR REVIEWS
  • “Dr. Swan and Dr. Kwon have provided the utmost compassion and support for my kitten.”

    - Miriam K.
  • “Dr. Buchholz is amazing and treats our dogs with loving care.”

    - Jay S.
  • “They are always trying to help and have good hours open.”

    - K.H.