Owner's Name*
First Last
Have you been to our clinic before?
- Yes
- No
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Email*
Phone*
Additional Contact (Name)
First Last
Additional Contact (Phone)
Spouse Email
Former or Active Military?
- Yes
- No
Puppy Information
Puppy’s Tag Information:
Breed*
Birthdate*
MM
DD
YYYY
Tag Number*
Invoice Number*
I authorize my pets records be released to another clinic/hospital or pet insurance company that is requesting records*
- Yes
- No
In the event of an emergency and pet is referred to an emergency clinic, I authorize my pets records be released to the clinic.*
- Yes
- No

Haiku Veterinary Clinic

Welcome to Haiku Veterinary Clinic, your local veterinarian in Kaneohe. We’re pleased to provide a wide variety of veterinary services for animals in Kaneohe and surrounding areas.

About Us

Contact Us

Text or Call: 808-235-6405
info@haikuvet.com

Visit Us

45-773 Kamehameha Hwy.
Kaneohe, HI 96744

Our Hours

Monday-Saturday: 8:00am-5:00pm
Sunday: CLOSED
Temporary Hours, until further notice

Haiku Veterinary Clinic Online Clinic Registration Form

Puppy Information

Haiku Veterinary Clinic

Contact Us

Visit Us

Our Hours

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