info@juanitahillsanimalhospital.com





Home
About Us
- Careers
- Community
- Contact
- Our Pillars
- Team
Our Services
Urgent Care
Resources
Pharmacy
Book Now

Home
About Us
- Careers
- Community
- Contact
- Our Pillars
- Team
Our Services
Urgent Care
Resources
Pharmacy
Book Now

Please Note: We will be closed on Monday, September 1st, in observance of Labor Day!

Health Certificate Form

Thank you for selecting Juanita Hills Animal Hospital.

We welcome the opportunity to provide the best care possible for your pet. Please help us meet your needs better by taking a moment to complete this information sheet.

Name *

First

Last

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Date / Time *

Pet Information

Pet Name *

Is your pet spayed or neutered? *

Yes
No

Pet Birth Date

Pet Gender *

Male
Female

Pet Breed

Is your pet microchipped? *

Yes
No

When was your pet microchipped?

Microchip #:

Is your pet up to date on vaccinations? *

Yes
No

Do you have a copy of your pet's rabies certificate? *

Yes
No

Date of last rabies vaccination?

Who can we contact for previous veterinary records?

Where are you traveling to?

Exact street address and phone number of destination.

When do you plan to travel?

Will you be using a third party for travel planning? *

Yes
No

traveling? pet phone

Name of travel planning company

Have you traveled to current or other destination with pet before, and where?

What is your pet's stress level when traveling? *

1 - Lowest
2
3
4
5 - Highest

Compassionate Veterinary Care in Seattle and Beyond

Our veterinary team proudly cares for pets throughout Kirkland, Seattle, Redmond, Bellevue, and the greater King County area. Striving to support cats and dogs with exceptional ongoing wellness and preventative care, we stay at the forefront of veterinary medicine and technology to deliver tender, gentle treatment you and your pet alike can trust. Schedule a visit to Juanita Hills Animal Hospital today!

Book Now

Have a question?

Please complete our online form and a member of our team will get back to you as quickly as possible.



Location

13603 100th Ave NE
Kirkland, WA 98034



Contact Information

Phone: 425-202-7430
Email: info@juanitahillsanimalhospital.com



Hospital Hours

Monday – Friday: 8:00 AM – 6:00 PM
Saturday: Closed
Sunday: Closed

We are closed on all major holidays.

Name *

First

Last

Email *

Phone

How can we help you? *

Name

Find a Cara Network Neighborhood Vet Near You

© 2025 Juanita Hills Animal Hospital | Powered by PetDesk | Privacy Policy | Accessibility Statement