Online Forms

Eudora Animal Hospital offers it’s forms online to allow for faster check-in times once you arrive at our hospital. No need to worry about remembering to bring paper forms with you. Simply fill out the forms below, hit submit, and you’ll be ahead of the game!

New Client/Patient Form

  • Owner Information

  • We would like to thank them!
  • To email reminders, records, vac history, ect.

  • Pet Information

  • Date Format: MM slash DD slash YYYY
  • We do not extend credit; payment in full is expected at time of service. An estimate of possible fees will be provided for your pet’s health needs; a deposit may be required.
  • This field is for validation purposes and should be left unchanged.

Boarding Form

  • Owner Information

  • Pet Information

  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
    (small dog <20# $20, 21-50# $30, >51# $40) If Reservation is more than 4 days, your pet will receive a complimentary Bath.
    (Prices range $15-$19) your pet will be treated if fleas are seen.
  • (Please list) CHARGES WILL APPLY
  • Pick up times - Saturday 7:30am-noon, or 5-7 pm

    Sunday 8-10am, or 5-7pm

    Note - *Must ring doorbell when picking up*.

    Payment: must be made up front when dropping off for boarding.

    I, the undersigned owner or authorized agent of the above patient, authorize the doctors and staff of Eudora Animal Hospital to administer treatment or medical procedures necessary for the health of my pet. I assume financial responsibility for charges incurred, and agree to pay all the charges at time of release. I also understand that the hospital is not fully staffed 24 hours a day.