New Client Registration Form

New Client Registration Form

Thank you for considering our hospital as your pet’s provider of veterinary services. We are dedicated to maintaining the health of your pet and look forward to many future years together!

Please complete this form as fully as possible prior to your first appointment which will help expedite the registration process and give us valuable insight in providing optimal care for your pet(s). The required sections have a red * asterisk.

Does your pet have existing medical records? If so please contact any prior veterinary clinics to have them emailed to us at or faxed to 707-635-6170. You can also send us records by clicking here to email them yourself. Please note it is illegal to release medical records (even to other veterinary clinics) without the owner's permission so we will not be able to get your pets past records unless you have approved their release.
  • Owner's Information

  • Let us know how you would like to be contacted for appointment confirmations or reminders. For phone we will call the home number entered. For text we will contact the mobile number so please fill in that field if you select "text".
  • Co-owner's Name & Contact #

  • Pet Information

  • Enter information for only one pet. If you have multiple pets you will need to fill out a "Register An Additional Pet" form for each additional pet.
  • On your pets first visit we will take a photo for the patient file. We will also use photos to catalog illnesses or procedures (e.g.. before and after photos of a dental cleaning). Please check your photo use preference below:
  • Please note for species other than dog or cat you will need to schedule with a specific doctor. Dr. André will see rabbits, guinea pigs and rodents. Dr. Carlisle will see all listed species.
  • If you would like to see a specific doctor please select below
  • Some common signs of fear/stress/anxiety are: panting, pacing, vocalizing, trembling, growling, hissing, or trying to bite.
  • Please check the types of rewards your pet enjoys and indicate if there are any foods that need to be avoided. Please give specifics about the boxes you have checked in the next section.
  • If you have any comments about boxes checked in the above two questions please enter them here


Location Hours
Monday8:00am – 8:00pm
Tuesday8:00am – 8:00pm
Wednesday8:00am – 8:00pm
Thursday8:00am – 8:00pm
Friday8:00am – 8:00pm
Saturday8:00am – 4:00pm