Contact Us

Mailing address:
2558 North Highway 16
Denver, NC 28037

Phone: (704) 483-2600
Fax: (704) 483-8735

Click here to request a prescription refill

New Patient Form

Thank you for giving West Shore Animal Hospital the opportunity to care for your pet. So that we may become better acquainted, please complete the following form. If you prefer, you can print out the form and bring it to your next visit by clicking here.

Owner's Information

First Name:

Last Name:

Spouse's First Name:

Spouse's Last Name:

Address:

City:

State:

Zip:

Best Number to Reach You:

#2 Phone:

#3 Phone:

Email:

How would you prefer to receive reminders for your pet?

Email Postcard

Place of Employment:

Spouse's Place of Employment:

Pet Information (Please fill in the following for each pet)
	Pet 1	Pet 2	Pet 3
Name
Breed
Approximate Date of Birth
Description (color)
Sex	Male Female	Male Female	Male Female
Spayed or Neutered?	Yes No	Yes No	Yes No
Date of Last Vaccine
Date of Last Rabies Vaccine
On Heartworm Prev.? (Dogs)	Yes No	Yes No	Yes No

Payment Policy

All fees must be paid in full at the time services are performed or upon discharge from the hospital. Any exception to this policy must be authorized prior to the performance of any service. Estimates are usually given, but please feel free to request one. Any bill not settled to the satisfaction of the hospital may result in the non-release of the pet.

How will you be paying for the services you receive?

Cash Credit/Debit Check

If paying by check, please provide NC Driver’s License Number at Checkout to Receptionist.

Prescription Refill Request
In our ongoing effort to make your pet’s health care as simple and convenient as possible, you can now request a refill for your pet’s prescription by submitting the following form. Your prescription request will be reviewed by your pet’s doctor within 24 hours, and you will be called when your prescription is ready for pick-up (be sure to provide a phone number where we can reach you). An assistant will contact you if there are any concerns about filling the prescription as you requested it. Please note: We cannot fill any prescriptions for a pet that has not been seen at West Shore Animal Hospital within the last 12 months unless we have a written prescription from another veterinarian on file. Prescriptions from other veterinarians can be faxed to us at (704) 483-8735.
Owner's Full Name
Pet's Name
Phone Number
Email
Medication Name
Quantity Requested
Notes to Us

If you do not hear from us within 24 hours, please call to make sure your prescription is ready for pick-up.

Hours of Operation:

Mon - Fri......	7:00am	-	5:30pm
Sat..................	8:00am	-	12:00pm

Phone: (704) 483-2600

West Shore Animal Hospital Sign