Southern Hills Animal Hospital

3827 Hite Street
Roanoke, VA 24014

(540)343-4155

www.southernhillsanimalhospital.com

New Client Check In

If you would like to make an appointment, you can assist us to expedite your check in by submitting this form.

Thank you for your cooporation in letting us assist you.

New Client

Name & Email (required)
First Name (required)
Last Name (required)
Address (required)
Street Address (required)
City (required)
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Zip / Postal Code (required)
Daytime Phone (required)
Phone TypePhone Number (required)
Evening Phone (required)
Phone TypePhone Number (required)
E-Mail Address :
Pet's Name (required)

Age: Years, Months

Type of Pet (required) :
Breed:

Sex: (required)

Male
Female


Neutered/Spayed

Neutered
Spayed


Are your pets vaccines current?
Do you have pets medical records?
Medical records at another veterinary Practice?

Yes
No


Name of Former Veterinary Practice

May we request a transfer of records?

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Reasons or conditions that prompted your visit?

Special requests or conditions?

Please list any additional pets here


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Dr. Preston Thornton
Dr. Mary Thornton
540.343.4155
fax: 540.345.6167

Office Hours:
Everyday 8:00 - 6:00

Appointment Hours:
Mon - Fri 9:00 - 6:00
Saturday 9:00 - 1:00

Urgent Care Appointments:
Until 7:00 pm Daily

Location:
3827 Hite Street SW
Roanoke, VA 24014



Get Directions Here