4635 East Thomas Road - Phoenix - Arizona - 85018 602.955.5500
New Patient Registration
Prior to your first visit please take a few minutes to fill out our
NEW CLIENT REGISTRATION FORM
. If you have any past medical records please bring those with you to your appointment, especially if your pet has been sick in the past.
Date of Birth (mm/dd/yyyy)
No, Please provide more information about micro-chipping
Pet Current Medications
Yes, I accpet DVAH payment policy as outlined
No, I decline DVAH payment policy
Payment Policy Full payment is due upon rendering of services. Deposits may be required at the start of treatment for major medical procedures. We accept debit cards, credit cards (Visa, Mastercard, Discover, American Express) checks and cash. I agree to pay any costs and charges necessary to the collection of any amount not paid when due. To prevent the spread of infectious diseases and parasites, hospitalized or boarded animals must be current on vaccines according to hospital policy, and free of internal and external parasites. I hereby authorize treatment of my pet(s) by the doctors at this hospital.
Desert View Animal Hospital
4635 East Thomas Road
Phoenix, Arizona 85018
SE HABLA ESPANOL
Copyright 2014. Desert View Animal Hospital. All Rights Reserved