Okaw Veterinary Clinic LLC

140 West Sale Street
Tuscola, IL 61953



New Client Check In


Welcome! Feel free to fill out the form below or print the "New Client" and "New Patient" sheets on the bottom of this page and bring them in to our clinic.

If you submit the form below, we will reach out to you as soon as we are available. Thanks for your interest in our clinic!

New Client

Name (required)
First Name (required)
Last Name (required)
First Name
Last Name
Address (required)
Street Address (required)
City (required)
State / Province (required)
Zip / Postal Code (required)
Home phone (required)
Phone TypePhone Number (required)
Cell phone
Phone TypePhone Number
Place of Employment

Work phone
Phone TypePhone Number
E-Mail Address :
Pet's Name (required)

Age: Years, Months

Type of Pet (required) :

Sex: (required)




Date of last vaccinations:

Do you have your pet's medical records?
Name of Former Veterinary Practice

Reasons or conditions that prompted your visit?

Has your pet had any previous surgeries or medical problems?

Is your pet on any medications? If so, list medications below.

How did you hear of us?

Please list any additional pets here

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