Location Map

2055 Clinton Street Buffalo, New York 14206

(716) 949-0161

Text or call to Initiate a Visit

Hours of Operation

8:30 am – 5:00 pm M-F, 8:30 am – 2:00 pm Sa

Intake and Consent

We are excited that you have chosen us to be a part of your pet’s health care. We are dedicated to providing convenient, comprehensive, and cost effective care for your furry family member! This form is intended to collect the information necessary for us to initiate, populate, and maintain appropriate client and medical records, obtain pertinent medical and and historical information about your pet, and collect information regarding billing and collections of unpaid invoices and other financial obligations. By completing this form, you consent to the use of this information for any of the above stated purposes.


Client Information

Here you will enter a little bit of information about yourself to establish an account with 716Vet
Spouse or Co-Owner's Name
You may enter the name(s) of anyone who may access your pet’s medical records here.
MM slash DD slash YYYY
Please enter your date of birth here. You will have a chance to enter your pet’s later.
Please enter the name of your employer here.
CareCredit or ScratchPay
Do you plan to use CareCredit or ScratchPay for today’s visit? If so, please make us aware here.

Patient (pet) Information

This is where you will enter information about your pet. Please try to be as accurate as possible as many of these questions will help the medical team decide what is the best course of therapy for you pet.

What breed is your pet? If you have a dog, this may be something like Poodle, Labrador Retriever, or Boxer. If you have a cat, this is often domestic short, medium, or long haired – this is based on the length of their fur. If you are unsure what breed your pet is, you can put “unknown”.
What color or markings does your pet have? For example, you may put ‘yellow’ or ‘tricolor’.
Gender and Reproductive status(Required)
Tell us how old your pet is. If you know the exact age, this is helpful but if not, make your best guess.
This question is VERY important. What veterinarian does your pet normally see for vaccines and wellness visits? This will help us communicate quickly with your veterinarian so that they know what is happening with your pet.
Do you have pet insurance? If so, please list the company and policy number below. If no, Write “na”
Why is your pet here today? Write as much as you like. The more details the better. Tell us anything out of the ordinary. Are they eating and drinking normally? Urinating and defecating? Are they vomiting or have diarrhea? How much and when? If they have an injury, when/how did it happen? Any coughing or sneezing?
This is where people let us know if their pet is nervous or likes to use their teeth for something other than food.
Where did you hear about 716Vet?(Required)