Online Forms

Client Information Form

Please complete this form before your pet’s appointment! If you need immediate assistance, please call us at 843-705-9959.

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Client Information

Thank you for selecting Okatie Veterinary Center. We welcome the opportunity to provide the best care possible for your pet. Please help us become better acquainted by completing the form below.

Primary Owner's Name *

First

Last

Spouse/Other *

Children

Mailing Address

Address Line 1

Address Line 2

City

State

Zip Code

Is your physical address different than your mailing address?

Physical Address

Address Line 1

Address Line 2

City

State

Zip Code

Email *

**We use email to communicate with you about your pet’s care, product recalls, important health alerts, appointments, and in-hospital specials. Your email will always be kept confidential**

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Place of Employment & phone (You)

Phone

I consent to receive SMS text messages from Okatie Veterinary Center. Msg & data rates may apply. Reply STOP to opt-out. *

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Place of Employment & phone (Spouse/Other)

Phone

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Emergency Contact *

Phone

Are you interested in pet insurance?

If you are a NEW client, how did you become aware of our clinic?

Phone book
Clinic sign
Website
Facebook
Online Review (Google, Yelp, etc.)
Personal recommendation

Who recommended you?

I authorize Okatie Veterinary Center to use my pet’s photo for reproduction in any medium including but not limited to; website, video, broadcast, print, and electronic means for purposes of advertising, trade, display, exhibition or editorial use. *

All fees are due when services are rendered or upon release of patient.

For your convenience, we accept the following forms of payment:

Check
Cash
Visa
Mastercard
Discover
American Express
Care Credit**

**If you choose to apply for the Care Credit Payment Plan®, all credit approvals are subject to Synchrony Financial. Further information regarding the Care Credit Payment Plan® is available upon request.

I understand that returned checks will be assessed a $25.00 returned check fee.

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Signature

Clear Signature

Date

Please list all pets in your household

1st pet layout

Pet's name *

Date of birth or approximate age

1st pet layout

Species *

Breed *

Color *

1st pet layout

Gender *

Male
Female
Male Neutered
Female Spayed

Has your pet been seen by a veterinarian in the last year? *

If yes, what was your pet seen for? *

Do you have a second pet?

2nd pet layout

Pet's name *

Date of birth or approximate age

2nd pet layout

Species *

Breed *

Color *

2nd pet layout

Gender

Male
Female
Male Neutered
Female Spayed

Has your pet been seen by a veterinarian in the last year?

If yes, what was your pet seen for?

Do you have a third pet?

3rd pet layout

Pet's name *

Date of birth or approximate age

3rd pet layout

Species *

Breed *

Color *

3rd pet layout

Gender

Male
Female
Male Neutered
Female Spayed

Has your pet been seen by a veterinarian in the last year?

If yes, what was your pet seen for?

Do you have a fourth pet?

4th pet layout

Pet's name *

Date of birth or approximate age

4th pet layout

Species *

Breed *

Color *

4th pet layout

Gender

Male
Female
Male Neutered
Female Spayed

Has your pet been seen by a veterinarian in the last year?

If yes, what was your pet seen for?

Do you have a fifth pet?

5th pet layout

Pet's name *

Date of birth or approximate age

5th pet layout

Species *

Breed *

Color *

5th pet layout

Gender

Male
Female
Male Neutered
Female Spayed

Has your pet been seen by a veterinarian in the last year?

If yes, what was your pet seen for?

Book an Appointment

We proudly serve the pets of the Okatie, SC, and surrounding areas. We look forward to seeing you and your pet! Please request an appointment by clicking on the button below or giving us a call.

Book Appointment

Have a Question?

Complete our online form, and we will be in touch with you shortly.

Name *

First

Last

Email *

Phone

I consent to receive SMS text messages from Okatie Veterinary Center. Msg & data rates may apply. Reply STOP to opt-out. *

How can we help you? *

Phone

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Location

200 Okatie Village Dr.
Suite 104
Okatie, SC 29909

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Contact Information

Phone: (843) 705-9959
Fax: (843) 705-9912
Email: hello@okatieveterinarycenter.com

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Hours

Mon: 8 AM – 6 PM
Tues: 8 AM – 6 PM
Weds: Closed
Thurs: 8 AM – 6 PM
Fri: 8 AM – 6 PM
Sat & Sun: Closed