Online Form

PATIENT
DROP-OFF FORM

Save time during your appointment! Complete your required forms online from any device at any time before your visit.

PATIENT DROP-OFF FORM

Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit.

At Central Valley Animal Hospital we are deeply committed to providing exceptional care for your beloved pets. While we take every precaution to ensure their safety and well-being, unforeseen circumstances can occasionally arise. Please read and acknowledge the following disclaimer, which is intended to protect both parties involved: DISCLAIMER: Central Valley Animal Hospital and its staff will exercise the utmost care and professionalism when attending to your pet's needs. However, despite our best efforts, there is a minimal inherent risk associated with veterinary procedures, treatments, and the general handling of animals. By signing this drop off form, you acknowledge and accept that:
By signing this drop off form, you release Central Valley Animal Hospital, its veterinarians, and staff from any liability or claims arising from injuries, illnesses, complications, or unforeseen events that may occur during your pet's stay or treatment at our facility. You understand that you are responsible for any associated medical costs and agree to indemnify Central Valley Animal Hospital against any claims or legal actions related to such incidents. Please feel free to ask any questions you may have before signing this form. We appreciate your trust and understanding as we work together to ensure the well-being of your cherished companion. We may need to contact you or someone you trust to make medical and financial decisions regarding your pet. Please provide us with the two contacts and the best phone numbers for each: