Irvine, CA 92620

OPEN 7 DAYS A WEEK

Monday to Friday: 8:30 AM – 6:00 PM
Saturday & Sunday: 9:00 AM – 4:00 PM

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Phone

949-559-9988



E-Mail

info@animalhospitalofirvine.com

949-559-9988
info@animalhospitalofirvine

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New Pet Information Sheet

Save time at your first appointment. Complete your required new pet information sheet online before your visit.

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New Pet Information Sheet

Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit.

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Client Information

Microchip

Name *

Email *

Species *

Breed *

Birth Date *

Sex

Male/Neutered
Female/Spayed
Male/Intact
Female/Intact

Color *

My pet is

Friendly
Not friendly with other pets

My pet is

Friendly
Not friendly with people

Previous Veterinarian Information

Name

Phone

Location

Vaccination History

Canine

DA2PP (Date Given)

Bordetella (Date Given)

Rabies (Date Given)

Lyme (Date Given)

Feline

FVRCP (Date Given)

FeLV (Date Given)

Rabies (Date Given)

Does your pet take any medication(s)?

If yes, what kind of medication(s)

Is your pet on flea control? If yes, what type(s)

Is your pet on a heartworm preventative?

If there is any other information you think we should know about your pet that we have not asked, please tell us

Message

Ready to Visit?

We proudly serve the pets of Irvine, Tustin, CA, and the surrounding areas. We look forward to seeing you and your pet! If you are an existing client, please use our direct booking feature to book an appointment online.

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Have a Question?

Get in touch! We look forward to hearing from you.

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Address

4200 Trabuco Road
Suite 160
Irvine, CA 92620



Contact Information

Phone: 949-559-9988
Fax: 949-559-5868
Email: info@animalhospitalofirvine.com



Hours

Monday to Friday: 8:30 am – 6:00 pm
Saturday & Sunday: 9:00 am – 4:00 pm

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Email *

Phone

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