Serving the Pittsburgh Area since 1980
Call us Now: 412-798-8770

New Client Form.

Plan Your First Visit

Fill out the new client form so we can create a record for you and your pet. Then you can request your first appointment.

Please bring a copy of your pet’s medical records to the appointment, or have them faxed to 412-798-8775.

Owner Information

First name**
Last name**
Street Address**
City**
State**
Zip code**
Email address**
Preferred phone**
 

Pet Information

Pet Name**
Date of birth (or approx. age)**
Pet type**
If other, what type
Breed**
Gender** MaleFemaleFixed
Pet Color**
Microchip/Tattoo #
 

2nd Pet, if applicable (or leave blank)

Pet Name
Pet type
If other, what type
Breed
Gender MaleFemaleFixed
Date of birth (or approx. age)
Pet Color
Microchip/Tattoo #
Enter the following for verification. No spaces. Not case sensitive.

captcha

 

 

 

 

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