Steamboat’s Only
AAHA-Accredited Clinic

Association of
Feline Practitioners

Colorado Veterinary
Medical Association

American Veterinary
Medical Association

US Department of
Agriculture Accredited

102 Anglers Drive (Location)
Steamboat Springs, CO 80487
Office: 970-879-5273
Hours: Mon-Thur, 8-6
Fri, 8-5; Saturdays, 9-2

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Services
For Clients
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102 Anglers Drive (Location)
Steamboat Springs, CO 80487

Hours: Mon-Thur, 8-6
Fri, 8-5; Sat, 9-2

New Client

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New Client

NEW CLIENTS: After completing this form you will be directed to the New Pet Intake Form. EXISTING CLIENTS: Please use the New Pet Form to add new pet information.

Client Information

"*" indicates required fields

Are you a New or Existing Client?*

New Client

Existing Client

Name and Email

Name*

First Last

Email*

Is this a new email address?

This is a new email address

Existing Clients: What Information Would You Like to Update?*

Phone information

Address information

Spouse or other contact information

Permissions and release agreements

Financial responsibility

Phone Information

Mobile Phone*

Second Phone

Preferred Phones (Check all that Apply)

Mobile Voice

Mobile Text

Second Phone

Work Phone

If needed can we call you at work?

Yes

No

Address Information

Mailing Address*

Mailing Address Mailing Address Line 2 City State ZIP Code

Physical Address

Street Address Address Line 2 City State ZIP Code

Spouse or Other Contact Info

Spouse/Other

First Last

Spouse/Other Mobile Phone

Permissions

Photo Release

Pet Kare Clinic may post photos of my pets on their website and social media platforms

Release of Medical Records

I authorize release of my pets' medical records to other clinics

Please Print Your Name to Authorize Release of Photos and/or Records*

Noted: My name constitutes a legally binding agreement.

Payment of Fees

PROFESSIONAL FEES ARE TO BE PAID AT THE TIME SERVICES ARE PERFORMED

Who will be responsible for authorizating procedures and paying for services?*

First Last

Signature*

Date*

MM slash DD slash YYYY

How did you hear about Pet Kare Clinic?

How did you hear about us?

Online Search

Friend

Newspaper

Other

Other:

If a friend referred you, whom may we thank?

Phone

This field is for validation purposes and should be left unchanged.

News and Events

Current News Client Education

September is Senior Awareness Month!

Client Education Current News

Keep your dog at home! Its hot!

Location

Contact Us

102 Anglers Drive (Location)
Steamboat Springs, CO 80487 Po Box 776134, 80477

Email: mail@petkareclinic.com

Office: 970-879-5273
Fax: 970-797-6390

Hours: Mon-Thur, 8-6
Fri, 8-5; Sat, 9-2

Our Mission

To treat you and your pet like one of our own, with unparalleled compassion, experience and teamwork.

Steamboat’s Only
AAHA-Accredited Clinic

Association of
Feline Practitioners

Colorado Veterinary
Medical Association

American Veterinary
Medical Association

US Department of
Agriculture Accredited

Steamboat’s Only
AAHA-Accredited Clinic

Association of
Feline Practitioners

Colorado Veterinary
Medical Association

US Department of
Agriculture Accredited

Steamboat’s Only
AAHA-Accredited Clinic

Association of
Feline Practitioners

Colorado Veterinary
Medical Association

American Veterinary
Medical Association

US Department of
Agriculture Accredited

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