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New Client Registration Form

Thank you for considering our hospital as your pet’s provider of veterinary services. We are dedicated to maintaining the health of your pet and look forward to many future years together.

Please complete this form as fully as possible prior to your first appointment which will help expedite the registration process and give us valuable insight in providing optimal care for your pet(s). The required sections have a red * asterisk.

  • Owner's Information

  • Co-owner's Name & Contact #

  • Emergency Contact Information

  • *The individual listed below should be authorized to make medical decisions for your pet in case of an emergency and NOT be the primary or secondary owner. This person should be familiar with your pet’s medical history and your care preferences. Their prompt decisions can ensure your pet receives timely and appropriate care in the event that you are unable to be contacted during your pet’s visit with Collegiate Peaks Veterinary Hospital.*

  • Pet Information

  • Date Format: MM slash DD slash YYYY

  • **Submitting this form doesn't book your appointment. You will still need to call, email, or submit the request from the website. Thank you**