Start your journey in seconds

Please take a few moments to fill out our New Patient Form using one of the options below if your pet is a new patient at Phoenix Veterinary Referral & Emergency Center.

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Multiple ways to fill out the new patient form

Complete Form

Complete and submit the online form below.

Complete Form

Print & Complete

Please download and complete the patient form before your visit to help us serve you more efficiently.

Complete on Arrival

If you prefer, fill out the form when you get to our hospital.

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Owner Information

Owner First Name *

Owner Last Name *

Phone Number *

Email *

Address *

City *

Zip Code *

Apt/Unit

County *

Spouse/Partner

Secondary Number

How did you learn about our practice? *

Frequently Asked Questions About Patient Forms

What our clients say

Grace C.

My dog Ziggy was referred for an ultrasound which confirmed that he had cancer that had spread. He still had a few weeks to go without suffering. One night I knew he was struggling. It was 1AM I took Ziggy down to Phoenix Emergency Center. They were wonderful giving us a private room time to say goodbye and gently put him to sleep with his head in my lap on the floor. They sent me a sympathy card with the names of the staff written on it. This type of kindness is so missing in this day and I so appreciated it.

Book an Appointment at Phoenix Veterinary Referral & Emergency Center Hospital

New pets are always welcome at Phoenix Veterinary Referral & Emergency Center Hospital. Our friendly veterinary staff looks forward to providing our neighbors in Citrus Heights and surrounding communities with the veterinary care they need.

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Rottweiler Dog