New Patient Registration Forms

Thank you for giving us the opportunity to care for your pet. Animal Emergency & Referral Center provides our patient forms online so that you can complete them in the convenience of your home, and save time at your appointment! Please read the instructions and then click on the link(s) to complete the form(s) that you need.

For Your Initial Visit:

  • Either fill out and submit online, or print and bring in the Client/Patient Information Sheet and the Current Medications Form
  • In addition, please bring all medications, medical records, and radiographs with you to your appointment

Online Fillable Forms

Please click the links below to fill out and submit the forms completely online! When you submit the form, they will be sent straight to the hospital email where we will process your information into our database. If you prefer to fill the forms out by hand, you may download the PDF you need by clicking one of the “PDF Print-Out Forms” links.

Client/Patient Information Sheet
Current Medications Form

PDF Print-out Forms

When the form has downloaded, please print and complete the information sheet and bring it to the hospital at the time of your appointment.

Signature on File Authorization
Records Release Form
Client/Patient Information Sheet
Current Medications Form

Don’t have Adobe Reader installed on your computer? Click here to download it for free now!