Start your journey in seconds

Please take a few moments to fill out our New Patient Form using one of the options below if your pet is a new patient at Companion Animal Specialty and Emergency Hospital.

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Multiple ways to fill out the new patient form

Complete Form

Complete and submit the online form below.

Complete Form

Print & Complete

Please download and complete the patient form before your visit to help us serve you more efficiently.

Complete on Arrival

If you prefer, fill out the form when you get to our hospital.

View Open Hours

Owner Information

Owner First Name *

Owner Last Name *

Phone Number *

Email *

Address *

City *

Zip Code *

Apt/Unit

County *

Spouse/Partner

Secondary Number

How did you learn about our practice? *

Frequently Asked Questions About Patient Forms

What our clients say

Bryan

We were very concerned about our 17-year-old chihuahua. They got us right in to see a doctor. They listened to our concerns and addressed what they could which was very comforting. Overall, polite, professional and practical. Thank you!

Book an Appointment at CASE Hospital

New pets are always welcome at CASE Hospital. Our friendly veterinary staff looks forward to providing our neighbors in Citrus Heights and surrounding communities with the veterinary care they need.

Book Online
Rottweiler Dog