New Client Form

Save time during your next appointment! Complete your required forms online from any device at any time before your visit.

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.

Pet Information (Please give any of your pets prior records to the receptionist)

Owner Information

Informed Consent

I certify that I am at least 18 years of age or older and that I am legally and financially responsible for the treatment received at Companion Pet Care. I will assume responsibility for all charges incurred in the care of this pet. I understand that FULL PAYMENT IS DUE AT THE TIME SERVICE IS RENDERED and that a DEPOSIT IS REQUIRED FOR ANY HOSPITALIZED PET OR A PET THAT IS DROPPED OFF AT OUR CLINIC FOR ANY REASON.If full payment is not made as required, Companion Pet Care has my permission to obtain credit information from an authorized agency to assess my credit worthiness and/or to aid in collection. We accept credit/debit cards (Visa, Mastercard, AMX, Discover) and Care Credit

WE DO NOT ACCEPT CHECKS.

LATE APPOINTMENT/CANCELLATION POLICY

We make every attempt to keep our appointments on time. In order to facilitate this, we strongly encourage you to show up 10 minutes prior to your appointment time. This allows for a smooth check-in process to update your pets’ medical records.

We do have a late fee* (7-14 minutes past your appointment time) for repetitve tardiness as follows:

1st time: Warning
2nd time: $10 late fee charged at the time of the appointment.
3rd time: $15 late fee and will be asked to pre-pay for any appointments at the time of scheduling.


If you arrive 15 minutes past your appointment time, we do ask to reschedule. If your pet is ill and needs immediate medical attention, your pet will be seen as a “walk-in/fit-in” appointment. You may have a much longer wait time than a scheduled appointment.

We ask for a 24-hour cancellation notice. We do have fees* for repetitve “No-Shows.”

1st time: Our staff ensures to call to make sure you and your pet are okay, offer a warning for any further “No-Shows.”
2nd time: $10 missed reservation fee
3rd time: $35 missed reservation fee and must pre-pay for future appointments at the time
of scheduling.

The staff here at Companion Pet Care thanks you for choosing us for your pets’ care and for your understanding of trying to meet each client’s needs in a timely fashion.

*These fees do not go to us for profit. They are given towards our Angel Fund to help those in need that do not have the financial means to care for their pet.