18577 Natchez Avenue, Prior Lake, Minnesota, 55372

Cleary Lake Veterinary Hospital

  • Home
  • About
    • Meet Our Small Animal Team
    • Meet Our Equine Team
    • Careers
    • Hospital Tour
    • Resources
  • Make Payment
  • Services
    • Small Animal Services
      • Emergency Services
    • Equine Services
      • Emergency Services
  • Online Pharmacy
    • Companion Animal Online Pharmacy
    • Equine Online Pharmacy
  • Referrals
  • Contact

(952) 435-8387

New Client Form

New Client Hospitalization Form

  • Patient Information

  • Vaccine History (Dates)

  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • Feeding instructions: We recommend you to bring your horse’s regular grain otherwise a ration balancer will be provided

  • Note: Halters should be left with your horse. However, all other accessories such as lead ropes, blankets, leg wraps, etc., should be taken home with you unless needed for turn out.

    Cleary Lake Veterinary Hospital will not be responsible for loss or theft of any items left with your horse

    TREATMENT CONSENT

    I hereby authorize the performance of those diagnostic, anesthetic, surgical and therapeutic procedures as recommended, in the best interest of my horse by the clinical staff of Cleary Lake Veterinary Hospital. I understand that all reasonable precautions will be taken to assure the safety and well-being of my horse while in the hospital. I have been advised as to the nature of the procedure(s) or operation(s) and the risks involved. I realize that results cannot be guaranteed.

    I understand that during the performance of the foregoing procedure(s) or operation(s), unforeseen conditions may be revealed that necessitate an extension of the foregoing procedure(s) or operation(s) or different procedure(s) than those set forth above. Therefore, I hereby consent to and authorize the performance of such procedure(s) as are necessary and desirable in the exercise of the veterinarian’s professional judgment.

  • Payment Policy

    DEPOSIT IS REQUIRED UPON ADMITTANCE; FULL PAYMENT IS DUE UPON DISCHARGE.

  • A $30 service charge will be assessed for a returned check. I have discussed the estimate costs for the procedure(s) with a staff member of Cleary Lake Veterinary Hospital and I fully understand I am financially responsible for all costs incurred including 1 ½ % interest or $1.00 billing charge, whichever is greater, assessed monthly on unpaid balance.

  • MM slash DD slash YYYY

Social

Office Hours

Monday – Friday: 8am – 6pm
Saturday: 8am – 1pm

Contact Us

18577 Natchez Avenue
Prior Lake, Minnesota, 55372

Phone: (952) 435-8387

Proudly Serving: Lakeville, Prior Lake, Savage, Shakopee, Elko- New Market, Farmington, Apple Valley and Burnsville

© Copyright 2025 Cleary Lake Veterinary Hospital

Sitemap | Accessibility | Privacy Policy | Terms & Conditions

Website by DOCTOR Multimedia

Accessibility Tools

Accessibility Tools

Increase TextIncrease Text
Decrease TextDecrease Text
GrayscaleGrayscale
Invert Colors
Links UnderlineUnderline Links
Highlight Links
Readable FontReadable Font
Reset
Call Us Text Us
Accessibility Tools

Accessibility Tools

Increase TextIncrease Text
Decrease TextDecrease Text
GrayscaleGrayscale
Invert Colors
Links UnderlineUnderline Links
Highlight Links
Readable FontReadable Font
Reset