Arroyo Animal Clinic

New Client Form

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Vet Near Sunnyvale, CA

We look forward to your visit.

Please fill out this form as completely and accurately as possible before your visit.

Name *

First

Last

Date of Birth *

Email *

Primary Phone *

Secondary Phone

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Who else is authorized to make decisions about your pet's healthcare? *

First

Last

Phone

How did you find out about our hospital? If you were referred by someone, who should we thank? *

May we contact your previous Vet(s) for your pet's medical records? *

If so, please provide you previous vet(s) name / phone number

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

What is the microchip number?

What heartworm, intestinal parasite and/or flea prevention is your pet on? *

What diet, treats and/or supplements is your pet on? *

Does your pet(s) have any chronic medical issues or on any medication(s)? *

If so, please describe below.

Does your pet(s) have any known allergies to medications and/or foods? *

If so, please list them below.

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. *

I have read and accept the financial policy.

Thank you for choosing Arroyo Animal Clinic!

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Request a Veterinary Appointment in Sunnyvale, CA

We proudly serve the pets of Sunnyvale, CA, and surrounding areas. You can count on our pet hospital to present you with many options to suit your pet’s health needs. Easily request an appointment for your pet using our online system on PetDesk and keep up with your pet’s health by downloading our app!

Please review our appointment policies before requesting an appointment through PetDesk.

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