Client Information
Name
Spouse/Secondary Name (if applicable)
Mailing Address
Patient Information
Species
Are you this pet’s owner?
Please provide pet’s vaccine history and/or copy of prior medical records
One file only.
100 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.
How did you hear about All Creatures Veterinary Care Center?

Payment Options

All bills must be paid when services are rendered. We do not bill. We accept all major credit cards including Care Credit/Scratchpay. If you have any questions regarding your payment today, please discuss it with a client service representative before seeing the doctor.

Thank you. I assume responsibility for all charges assumed in the care of my pet(s). (Initial Below)

Authorization Release

I hereby authorize the veterinarian to examine, prescribe for, or treat the above described pet. The doctors and staff at All Creatures Veterinary Care Center are to use all reasonable precautions against injury, escape, or destruction of my animals, but they will not be held liable for any problems that might arise from the care, treatment, or safe-keeping of the animals as it is understood that I, as the owner, assume all the risk.

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