Medical Services
University Animal Hospital is a complete small animal veterinary facility and a full-service boarding and grooming facility. We offer many important specialty services such as laser surgery, dentistry, endoscopy, digital x-ray, ultrasound, and EKG. Schedule an appointment now!

New Client Form

If you've never been to University Animal Hospital before, you can save time and 10% on your first visit by completing this form and printing out the confirmation email -- you'll have a chance to print your result after submission. When you complete this form, you will also be emailing it to our office and we'll have it on file.

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If this is an emergency, please call 480-968-9275.

Please provide a street address and apartment number if you have one.

Do you have pet insurance? Please provide the company name here.

Please provide the name of your insured pets

If you'd like to receive email reminders and newsletters for your pet(s), please provide your email address. We do not share your email address with anyone.

Communicating With You

Please indicate your preferred method of communication for us to remind you about services coming due for your pet, appointment reminders and health alerts. If you opt out of all options, we will communicate with you only via postal reminders.

YesNo
Email
Text
Post

If you would like another person to make financial decisions and have access to your account, please list this person here.

If you specified "referral," "friend" or "other," please provide more details below so we know who to thank! You can pick more than one with control-click.

If you answered anything other than "regular vet", please let us know who your pet's current veterinarian is.

Please select your method of payment below.

  • We do not carry open accounts.
  • Client agrees to pay any costs and attorney's fees necessary for the collection of any amount not paid when due.
  • Full payment is required at the time of service. Deposits are required on major medical/surgical cases, trauma cases and hospitalization. We offer Care Credit and Citi Health Card as methods of making payments. Please ask about these options before services are provided.
  • We accept local checks only; no out of state checks will be accepted. We will ask to see your driver's license every time you write a check. This hospital works in conjunction with the County Attorney's office in reporting all bad check writers.
  • For security purposes and to protect the personal information of our clients, we will not keep credit card information on file, nor take credit card payments over the phone.
    We do not carry open accounts. Please choose your method of payment.
Patient Information
Medical History

If you have a dog or cat, please provide additional information about their medical history below.

Dog

Please provide dates of the following where possible

Cat

If your pet has a microchip for identification, please provide the brand here.

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Type the characters you see in the picture above; if you can't read them, submit the form and a new image will be generated. Not case sensitive.