Welcome! We value our clients and patients and look forward to being of service to you.

Home Address:

Pet Information

Male or Female?
Spayed or Neutered?
Male or Female?
Spayed or Neutered?
Male or Female?
Spayed or Neutered?

Previous History

Do You Give Us Permission to Obtain Previous Records?
How Did You Hear About Us?
We’d love to share your pet(s)’ stories and images on our social media, website, and marketing materials! We never share your full name or personal information. Do we have your permission to share their images or stories for these purposes?

We kindly ask you bring dogs in on leashes and cats in carriers for the safety of all our patients, clients, and staff. We have leashes available to borrow at the front desk upon request.


Up to date vaccinations are required by Crystal Creek Animal Hospital before we can admit any animal for surgery or other services. These measures are taken to protect the well-being of all staff and animals within our facility. For dogs, this includes Rabies, Canine Distemper, and Bordetella vaccines.


For cats, this includes Rabies and Feline Distemper vaccines. Boarders are required to have had a negative intestinal parasite test (fecal test) within the past 6 months, and for dogs, a Bordetella vaccine for kennel cough within the past 6 months. If your pet(s) are not up to date on these vaccines or tests, please ask how we can bring them up to date for you.


I hereby authorize the veterinarian to examine, prescribe for and/or treat the above described pet(s). I assume responsibility for all charges incurred in the care of these pet(s) and understand payment is always due in full at the time of service. I recognize financial concerns should be discussed prior to diagnostics and treatment.


We can provide you with an estimated cost for services during your visit. We cannot give an estimate over the phone for non-routine procedures without assessing your pet hands-on; this includes dental procedures. For your convenience we accept Visa, Mastercard, American Express, Discover, CareCredit, Scratchpay, cash, and personal checks with proper ID.

I affirm that I am age 18 or over, that the above information is correct and that I am the owner or authorized agent of the pet(s) listed above. I understand that due to legal restrictions, medications cannot be returned once they have left the building and that prescription requests may take up to 24-48 hours to be approved.(Required)
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