Lincolnway Veterinary Forms
If you need to complete one or more veterinary forms prior to your pet’s appointment or procedure, we’ve provided them below so you can fill them out at your convenience. Just choose the form or forms you need to fill out and provide all the necessary information (be sure to complete the required fields), then submit. Your form(s) will be sent directly to our team.
Below, you’ll find our contact forms. Let us know if you have any questions by calling (574) 256-1871!
Client Forms:
Welcome Form
Appointment Request
Puppy Class Registration
Update Your Information or Add a Pet
Photo, Video, and Social Media Consent
Referral Forms:
Acupunture Referral Request
Physical Rehabilitation Referral Form
Ultrasound Referral Request
Rehabilitation Forms:
Patient Rehabilitation Questionnaire
Physical Rehabilitation Waiver and Policies
Patient Forms:
Drop-Off for Hospitalization or Treatment Form
Dental Consent Form
Surgery Consent Form
Patient History Forms:
Illness History Form
Progress Exam History
Puppy / Kitten History
Wellness History Form