Curbside Check-In Form

Check-in for your pet’s appointment!

Please complete your curbside check-in and history before arriving. Once you arrive, please call 303.388.2255 to let us know that you have arrived and where parked. Your Outpatient Nurse will call to review while one of our other team members will safely transfer your pet into the practice at the conclusion of the check-in call to be evaluated by their veterinarian. Once the examination is done, your doctor will call to review and/or discuss any recommendations for care.

I am in this vehicle: (please list model & color, ex. Black Audi SUV) *

Best Phone Number for Today’s Appointment: *

Best Email: *

Patient’s Name: *

Patient’s Species: *

Canine
Feline

Owner's Name *

First

Last

Appointment Date/Time: *

Date

Time

Primary Reason for Appointment: *

Preventive Care Exam/Consult
Ill Pet Exam/Consult

General Health Questions:

List Medications/Supplements your pet is currently taking:

Heartworm preventative? *

Flea/Tick preventative? *

Do you need refills of any medications? *

List which medications you need refills of:

Diet: Please note the brand/s and volume per day fed to pet. *

Diet is: *

Grain-free
Grain-inclusive

Appetite? *

Normal
Abnormal

Vomiting? *

Water Consumption? *

Normal
Abnormal

Diarrhea? *

Energy Level? *

Normal
Abnormal

Coughing? *

Urination? *

Normal
Abnormal

Sneezing? *

Questions or other Concerns for the doctor?

After transferring pet from car into clinic, the doctor will examine and then follow-up with exam findings and any recommended treatment for our ill pets to make a care plan for you and discuss potential costs. Time can be expedited by reviewing the authorizations below.

For Preventive Care Exams: (please check any or all that apply) *

Call first before any vaccinations or diagnostic testing.
Please go ahead with any due/needed vaccinations.
Please go ahead with any due diagnostics such as heartworm/tick-borne disease screening, fecal analysis, age-based or chronic disease/medication monitoring diagnostics.

Vaccines inclue: Canine: Rabies, DHPP, Bordetella, Leptospirosis, Canine Influenza
Feline: Rabies, FVRCP, Leukemia

For Ill Pets with vomiting/diarrhea or other urgent concerns: *

Call first before proceeding with any diagnostics such as x-rays or blood work.
Please proceed with any needed diagnostics up to a ceiling of $ (specify amount below)
Please proceed with x-rays – initial cost for one system including telemedicine review by boarded veterinary radiologist is $195.
Please proceed with in-house blood work/urinalysis up to a maximum cost of $250 plus cost of exam/consult.

Please proceed with any needed diagnostics up to a ceiling of $

Name

Park Hill Vet
Where Your Pets Matter

Our commitment is to deliver the best medical care to your special family members throughout their lifetime—from the routine to the unexpected. We aim to offer the best veterinary care for your pets in Denver.

Location

2255 Oneida Street
Denver, CO 80207
Click here for directions.

Hours

Mon - Fri: 8:00am – 6:00pm
Sat: 8:00am – 1:00pm
Sunday: Closed

Contact Info

Phone: (303) 388-2255
Fax: (303) 967-2377
Email: moreinfo@parkhillvet.com