top of page

Welcome to our Clinic!

Thank you for trusting us with the care of your beloved pet.

To help us get to know you better, please complete the form below. 

Any medical records or additional information you may have for your pet, please email to:

centerwestanimalhospital@gmail.com

We can’t wait to meet you and your furry friend!

Center West Animal Hospital

Thank You For Choosing Us!

Please complete the following form. Once your form has been submitted, please send all medical records or any pertinent information you may have regarding your pet(s) to centerwestanimalhospital@gmail.com.

One form per pet, please!

Client Information

May we contact via email?
Yes
No
Multi-line address
Did you already schedule an appointment?
Yes
No

Pet Information

Species
Cat
Dog
Sex
Female
Male
Neutered/Spayed
Yes
No
Unknown
Has your pet ever had a vaccine reaction?
Yes
No
Unknown
Is your pet currently on any medications?
Yes
No
May we use your pet's image on our website, social media, and/or in the clinic?
Yes
No
Other

Authorization

I hereby authorize the veterinarian to examine, prescribe for, or treat the above described pet. I assume responsibility for all charges incurred in the care of the animal. I also understand that all professional fees are due to the time services are rendered.

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.
Date
Month
Day
Year

No Call/No Show Policy

Appointment times are limited. Any appointment that is missed without prior cancellation or rescheduling, will incur a $75 "no call/no show" fee. If you must cancel your appointment, please give us a 24 hour notice.

26050 Center Ridge Road

Westlake, Ohio 44145

centerwestanimalhospital@gmail.com

 

P: 440-871-6211

F: 440-871-7243

Stay informed about closings due to inclement weather, power phone outages, and holiday hours by visiting our Facebook and Instagram pages for the latest updates. Your safety and convenience are our top priorities, so don’t hesitate to check in for timely announcements. Thank you for your understanding!

bottom of page