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New Patient Form

If this is the first time you or your pet are visiting Companion Animal Hospital please complete our New Patient Form using one of the following options.

Option 1

Complete Online

Fill and submit the following online form.

Option 2

Print & Complete

Bring the filled form with you to your appointment.

Download Form

Option 3

Complete on Arrival

If you'd prefer, complete the form at our hospital.

Option 1

Complete Online

Fill and submit the following online form.

Option 2

Complete on Arrival

If you'd prefer, complete the form at our hospital.

New Patient Form

Owner Information

Emergency Contact

Patient Information

Primary Veterinarian Information

Please fill this section in if we are not your primary care veterinary hospital. By listing your primary care veterinarian, you are authorizing Companion Animal Hospital to release patient information to the primary care hospital or veterinarian.
By submitting this form, I hereby authorize Companion Animal Hospital to render medical care for my pet(s) as deemed necessary by the veterinarian. I understand that no guarantee can be given to the outcome of treatments and take it as my responsibility to comprehend any risks involved. I agree to pay for the cost of all services to which I consent to by written or verbal estimate. I understand that a deposit is required before diagnostics and treatments can be initiated and that payment in full is required prior to discharge of patient from Companion Animal Hospital.

Now Welcoming New Patients

Companion Animal Hospital is currently accepting new patients! Our friendly vets are experienced in caring for the needs of Santa Cruz's companion animals including cats, dogs, and exotic pets. Contact us today to schedule your pet's first appointment.

Contact Us

(831) 425-1970