Country Club Animal Clinic offers our new patient form online so you can complete it in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download for free.
  • You have 3 options to submit your form: (1) Complete the fillable form on your computer and email it, (2) Fax us your printed and completed form, or (3) Bring it with you to your appointment.

New Client or Updated Information

This lets us record pet owners into our management software so that we can effectively and efficiently provide the service you deserve!

You may download this form and print, or you may fill out the form electronically, digitally sign, and email to us.

IMPORTANT INFO TO NOTE WHEN ELECTRONICALLY COMPLETING THE FORM:

After clicking the link below, you will download the form and open it using Adobe Reader or Adobe Acrobat (If needed, get Adobe Reader using the link above). You are going to fill out the form within Adobe and electronically sign, then click the “Submit” button. A pop up will appear, giving you the choice of using Outlook to mail or using a different email such as Gmail, Yahoo, etc.

CLICK HERE TO DOWNLOAD THE FORM