Northlake Pet Hospital

1490 Commons Circle
Northlake, TX 76226


Northlake Pet Hospital - Northlake, TX

Register your pets as patients or Appointment Request

Please use our form to request an appointment for new or existing patient(s). 

Request Appointment Form

Owner Name (required)
First Name (required)
Last Name (required)
Pet's Name (required)

Pet's Species (required)


Pet's Breed

Pet's Gender (required)

Female Spayed
Male Neutered

Pet's Fur Color (required)

Pet's Birthday (approximate is ok) :
Address (required)
Street Address (required)
City (required)
State / Province (required)
Zip / Postal Code (required)
Preferred Phone Number (required)
Phone TypePhone Number (required)
E-Mail Address (required) :
Patient Type (required)
(Have we seen your pet before?)

New Patient
Current Patient
Returning Patient

If you are ready to schedule an appointment, please choose some available times that work best for you
Appointment :
Appointment :
Best Method for Confirming Appointment (required)


Are previous veterinary medical records available?


May we request a transfer of records?


Name of previous veterinary clinic

Date of last Rabies vaccine (required) :
Date of last Distemper-Parvo/DHPP/DAPP/DA2PP vaccine if applicable :
Date of last Bordetella/Kennel Cough vaccine if applicable :
Date of last FeLV/Feline Leukemia vaccine if applicable :
Date of last FDRT/FVRCP/Feline respiratory and diarrhea vaccine if applicable :
Date of last Heartworm Test if applicable :
Please list any other pets in your home
Comments - Please list or describe reason for your pet's visit (required)

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