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  • Home
  • About
    • What To Expect
    • Office Tour
    • Our Team
    • Pet Gallery
    • Pet of the Month
    • Testimonials
  • Patients
    • Payment Options
    • Special Offers
    • Online Forms
  • Services
    • Services
    • Pet Dental Care
    • Pet Radiology / Ultrasound
    • Pet Surgery
  • Resources
    • Educational Links
    • Pet Medical Conditions
    • Pet Health Videos

Additional Pet RegistrationOnly for additional pets only

  • If this is your first time registering at Rancho Viejo Animal Hospital, please go back and use our registration form. The registration form has important information that must be obtained in order for our staff to schedule an appointment and treat your pet.

    If only this form is filled out and a registration form is not filled out first, your submission may not be processed properly.

  • Owner Information

  • Pet Information

  • Please list the full company name of whoever provides your pet insurance, if you have any.
  • If you have a current vet that you still actively bring your pet to, please list this as well.
  • Medications, foods, etc.
  • Vaccination Information

    Please provide the date of each vaccination in the spaces provided.
  • Input date of last vaccination if known
  • Input date of last vaccination if known
  • Input date of last vaccination if known
  • Input date of last vaccination if known
  • Input date of last vaccination if known
  • Input date of last vaccination if known
  • Input date of last vaccination if known
  • Input date of last vaccination if known
  • In all cases, payment is due at the time of service. Due to the volume of patients seen in our clinic, payment plans and billing are not an option. To assist you in making payments, we accept cash, check, Visa, MasterCard and American Express. We also offer Care Credit for extended payment options. An itemized estimate can be provided to you before services are rendered at your request. The undersigned warrants that he/she is the owner of, and/or the responsible party for, the animal described above and is responsible for all charges incurred. This is not a 24-hour clinic and overnight supervision is not provided.
  • I authorize Rancho Viejo Animal Hospital and staff to use my pets photograph publicly to promote the hospital. I understand that the images may used in print publications, on line publications, presentations, websites, and social media. I also understand that no royalty, fee, or other compensation shall be payable to me by such use.

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