Online Forms

New Client Form

Welcome to Desert Tails Animal Clinic! We’re so excited to meet you and your pet. Fill out your new client form online to save time in the office.

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Desert Tails Animal Clinic Online Forms

Our mission is to work with our clients to build and foster the bond between people and animals by providing compassionate, in-depth knowledge, and reasonably priced veterinary care for your pet from the time it sets out on its first adventure until the end of its healthy life.

New Client Form

Name *

First

Last

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? *

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? *

Yes
No

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.

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Online Forms

New Client Form

Desert Tails Animal Clinic Online Forms

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