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 Pico Rivera Animal Hospital.

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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

Evelyn G.

Excellent services. Doctors have been great with my two furry babies. All of the staff is great, super helpful, and very patient with the tons of questions I bombard them with. I get all of my pets' services here....boarding them there included. I know my two pups are in good hands when I bring them in. Super grateful to them!

Book an Appointment at Pico Rivera Hospital

New pets are always welcome at Pico Rivera Hospital. Our friendly veterinary staff looks forward to providing our neighbors in Citrus Heights and surrounding communities with the veterinary care they need.

Book Online
Rottweiler Dog