Client Forms

New Client? Jump to the form

Appointments

We prefer to see patients by appointment in order to allow us time to take care of you and your pet/s. Please call us at 303-388-2255 to schedule an appointment or request an appointment online. Walk-ins will be seen as soon as we are able without inconveniencing our scheduled clients. Critically ill or injured patients will be seen immediately.

Payment Policy

Park Hill Veterinary Medical Center offers several options to pay for health care services. We are dedicated to providing your pet with quality health care at affordable prices.

Full payment is expected when services are rendered. To help with this, we accept cash, personal checks, Visa, MasterCard, Discover, Care Credit, Citi Health Card and American Express.

Ask the Doctor

Got a question? Want more information before making an appointment? Email the doctor

Current Clients

Prior to your appointment access the links below and email your completed forms.

Client Registration Form

Canine Patient Information

 Feline Patient Registration Form


New Clients

If you are a new client coming to Park Hill Veterinary Medical Center for the first time, please fill out and submit the form below.

Owner's Name (required)

Address

City, State, ZIP Code

Owner's Email (required)

Owner's Home Phone

Owner's Mobile Phone

Owner's Work Phone

Co-owner's Name

Co-owner's Email

Co-owner's Home Phone

Co-owner's Mobile Phone

Co-owner's Work Phone

Primary contact number for owner

Primary contact number for co-owner

Okay to attempt to reach owner at work?
YesNo

Okay to attempt to reach co-owner at work?
YesNo

How did you find out about Park Hill Veterinary Medical Center?

If we were recommended personally, whom may we thank?


Please provide the following information about your pet:

Pet's name

Type of pet
CanineFelineOther

Pet's breed

Pet's sex
MaleFemale

Neutered/Spayed?
YesNo

Pet's date of birth (approximate)

Name of veterinary facility we can contact for your pet(s) medical history


Please tell us if your pet has received the following vaccinations:

Rabies
YesNo

Distemper-Parvo combo (canine only)
YesNo

Leptosporosis (canine only)
YesNo

Bordetella (canine only)
YesNo

Upper Respiratory (FVRCP) (feline only)
YesNo

Leukemia (feline only)
YesNo


Additional notes, concerns or anything else you'd like us to know prior to your visit: