31270 Palos Verdes Dr. W
Rancho Palos Verdes, CA, 90275
Open Mon,Wed: 7:30AM to 8PM,
Tues,Thu: 7:30AM to 6:30PM,
Fri: 7:30AM to 6:00PM, Sat: 8AM to 4PM

New Patient Form

Thank you for visiting our hospital. We look forward to getting to know you and your pet. Please help us to provide the best care possible for your pet by taking a moment to fill out this form.

Client / Owner Information
Spouse / Co-Owner Information
How did you hear about us?
Doctor Referral
If you have been referred to us by another veterinarian, please provide their information below.
Please tell us about your pet(s)

I understand, by indicating I agree and submitting this registration, that I am responsible for any charges incurred by my pet while in the care of the doctors at Point Vicente Animal Hospital and that charges are due and payable at the time of service, unless other arrangements are made in advance. Any balance that is carried over a period of 30 days will accrue a monthly finance charge of 1.5% or 18% per annum. Any balance that I leave unpaid will be forwarded to Point Vicente Animal Hospital's collection agency, and will incur a 25% collection fee for which I am liable, in addition to monthly finance charges.