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 Plainfield 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.

View Open Hours

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

Deidra A.

We’re 1st time pet owners and took our 8week old puppy here for our 1st Vet visit. We were very pleased with the service: professional, friendly and made us feel comfortable with the questions we had. Signed up for the wellness plan too so we’ll be back soon! Feels good to know that we have a safe and reliable place to take our puppy.

Book an Appointment at Plainfield Animal Hospital

New pets are always welcome at Plainfield Animal 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