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New Client Form
 
Save time by filling out our online Registration Form and we'll have your pet'smedical records prepared when you arrive.
JUST FILL OUT AND SUBMIT THE FORM BELOW
    REMEMBER: You'll need to submit a separate form for EACH of your pets.
 

 
PET OWNER INFORMATION
OWNER'S NAME
TELEPHONE
ADDRESS
CITY
STATE ZIP
CONTACT NO
E-MAIL
  PET INFORMATION *Note: You must submit a form for EACH of your pets.
PET'S NAME
SPECIES (Dog, Cat, etc.)
BREED
COLOR DATE OF BIRTH (AGE)
SEX
Male Female
NEUTERED
Yes No    DATE ALTERED
MEDICAL HISTORY (Please Describe)
PURPOSE OF THIS VISIT
DO YOU HAVE OTHER PETS AT HOME?
PET'S NAME
DOG   CAT    OTHER
PET'S NAME
DOG   CAT    OTHER
PET'S NAME
DOG   CAT    OTHER
HOW DID YOU BECOME AWARE OF OUR HOSPITAL?
SEARCH ENGINE     E-MAIL AD      YELLOW PAGES      HOSPITAL SIGN  
      BILLBOARD   PENNYSAVER      FLYER       OTHER
Has your pet had any previous serious illnesses or surgeries?  If so, please explain below.
Is your pet allergic to any medication or vaccination?    No    Yes    If so, what?
Is your pet currently on any special food or medication?    No    Yes    If so, what?

We will gladly prepare a written estimate if you desire (please ask our doctors or receptionist).  This will be important to you since ALL PROFESSIONAL FEES ARE DUE AT THE TIME SERVICES ARE RENDERED.  In cases of extensive medical or surgical procedures, when full payment may be difficult at discharge, we accept all major credit cards, or we can establish a payment arrangement if approved in advance of the treatment. 

There will be a $25.00 service charge for any check returned unpaid.

   

To prevent the spread of infectious diseases, all hospitalized and boarded patients must be current on all vaccines and free from internal and external parasites.  By clicking on the SUBMIT button below, you authorize this level of preventive care and you agree to pay the appropriate charges assessed in the discharge invoice.

By submitting this online form, I agree to be responsible for authorizing procedures and/or paying for services.

Latest News
 
Under New Management !!!

We open 7 days

Call Us at 209.464.8379

Hours of Operation: From 8AM till Midnight

We take all Emergencies!!!

Microchips Available !

Vaccine Packages Available !

SE HABLA ESPANOL
Vaccination Clinic
 

We conduct low cost Vaccination Clinics on every Saturday between 1 PM - 3 PM. Click below for more details

 
Pet Tips
 
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