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Please note: We will be closed on Tuesday, December 24th, and Wednesday, December 25th, in observance of Christmas! We will also be closed on Wednesday, January 1st, in observance of New Years!

If your pet needs a refill on their medications before Christmas, please plan to request it this week to ensure we can have it ready for you in time. Thank you!

New Client Form

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We look forward to seeing you soon!

Please complete this form before your appointment.

Owner Name *

First

Last

Address *

Address Line 1

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Zip Code

Email *

Primary Phone *

Secondary Phone

How did you hear about us? *

Drove by
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Referral

If other, please explain how you found us! *

If you were referred by someone, who should we thank? *

Secondary Owner

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Last

Phone

Pet's Name *

Species *

Breed *

Color *

Age/Date of Birth *

Sex *

Male
Male (neutered)
Female
Female (spayed)

Allergies/Conditions

Current Medications (Including Heartworm and Flea Prevention)

Would you like to add another pet? *

Pet's Name *

Species *

Breed *

Color *

Age/Date of Birth *

Sex *

Male
Male (neutered)
Female
Female (spayed)

Allergies/Conditions

Current Medications (Including Heartworm and Flea Prevention)

Signature *

Clear Signature

Date *

Phone

We provide quality veterinary care in Visalia, CA.

When your pet is not feeling its best, we’ll be there to help. We provide quality and compassionate veterinary care. We look forward to seeing you soon.

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