New Client Form

Please fill out our New Client Form before bringing your pet in for your first visit. This will speed up your processing time and help ensure we have accurate information. Thank you!

Client Information
Your Name
Spouse's Name
Address:
City:
State:
Zip:	(ZIP Code)
Home Phone	(Phone Number)
Work Phone
Cell Phone
Primary email (Please supply us with your email address if you wish to receive pet updates and pet information via email)	(E-mail)
Employer
Employer's Address
Employer's Phone
Spouse's Employer
Employer's Address
Employer's Phone
How did you find out about us?	Yellow Pages Hospital Sign Website Previous Visit
Referred by:
Will we be your regular vet? (If not, indicate how we can help you)	Yes Emergency Boarding 2nd Opinion Other
Patient Information
Pet Name
Species	Dog Cat Ferret Rabbit Turtle Tortoise Lizard Snake Amphibian Small Mammal
Sex
Age
Color
Last known vaccinations:
Distemper (Dogs and cats)
Parvo (Dogs)
Rabies (Dogs and cats)
Bordetella (Kennel Cough) (Dogs)
Feline Leukemia (Cats)
Heartworm (Dogs)
Does your pet have a microchip for identification?
Is your dog on heartworm preventive every month?
Does your dog frequently board, go to the dog park, on walks, dog shows or groomers?
Is your cat predominantly indoor or outdoor?
Does your pet have fleas and/or ticks?
Do you take your pet on trips?
How did you acquire your pet?
Your Other Pets:
Pet Name
Pet Species
Pet Breed
Pet Color
Pet Age
Pet Sex
Pet Name
Pet Species
Pet Breed
Pet Color
Pet Age
Pet Sex

News

Here you can find events and hospital-related news items about our hospital, staff and pet health-care items.

Classes

University Animal Hospital offers classes taught on site four times a year for adults and children in cooperation with the City of Tempe Parks and Recreation.

Show Off Pets

These pet stories are from our clients in their own words.

Q and A

Our staff is frequently asked questions about grooming, pet care, diet, giving medication, behavior, etc. In this section, we will answer frequently asked about one of the topics.

Adopt a Pet

Do you have room in your home and your heart for a new member of the family?

Pet Links

University Animal Hospital and Pet Resort recommends the following links for additional useful pet-related information.

New Client Form

Client Information

Patient Information