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New Client Form

The care your pet deserves.

Thank you so much for choosing Swaim Serum Co, we greatly appreciate it!

Get Started

New Client Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit. If this is an emergency, or if your pet needs urgent care, please call us at (405) 236-8581 for a faster response.

Name *

First

Last

Email *

Primary Phone *

Secondary Phone

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Preferred Method of Contact *

Email
Phone
Postal Mail

Spouse/Co-Owner Name

First

Last

Spouse/Co-Owner Phone

How did you find out about our hospital? If you were referred by someone, who should we thank? *

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Color *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

Previous veterinarian information:

I give permission for Swaim Serum Co to share photographs or case-specific information about my pet in all media (including promotion, advertising, sale, publicizing, and general marketing of Swaim Serum Co). *

Signature *

Date *

Name



1601 S Agnew Ave, Oklahoma City, OK 73108



(405) 236-8581

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[email protected]

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Clinic Hours

Mon-Fri: 8 am - 5 pm
Sat: 8 am - 12:30 pm
Sun: Closed

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Store Hours

Mon-Fri: 8 am - 5 pm
Sat: 8 am - 1 pm
Sun: Closed

Questions?

Say Hello

Get in touch! Complete the form below, and a member of our team will be in touch with you. Please allow 24-48 hours for all prescription refills. If you're in need of immediate assistance, please contact us at (405) 236-8581.

Name *

First

Last

Email *

Phone

How can we help you? *

I acknowledge it can take a team member to reach me from 24-48 hours. *

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