New Client Form

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New Client Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit.

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New Client Form

Name(Required)
Address(Required)
Who else is authorized to make decisions about your pet's healthcare?

Pet Information

Sex(Required)
Does your pet have a microchip identification?(Required)
Does your pet have any medical condition that we should know? (Seizure, allergy, diabetes etc.)(Required)
Do you have a second pet?(Required)
Payment is due in full at the time that services are performed. If being admitted into the hospital, we cannot begin the care of your pet until you have confirmed your desire to do so by 1) signing the client consent & estimate form, and 2) leaving an initial deposit of 50% of the upper end of the estimate. This is the only way that we have of knowing for certain that you want us to proceed with the care of your pet. We accept cash, Visa, MasterCard, Discover, and CareCredit payments. We neither extend credit, nor bill for services. All open invoices are sent to collections after 45 days unless prior arrangements are made.(Required)
This field is for validation purposes and should be left unchanged.
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We proudly serve the pets of Orange County and beyond. We look forward to helping your pet feel better! Click below to save your spot, or give us a call!
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