Pre-Register

If you would like to pre-register with us, it will allow us to more quickly check you in for appointments as well as keep you updated with any information you may need prior to coming in.

If you need records transferred from a previous veterinary clinic, call them or use this form to request they be sent to us.
*NOTE: Unfortunately only the owner can make the request to the current veterinarian for the records transfer. Please mail or email the completed form to your current veterinarian. Some may accept a phone call from the owner. They should fax, mail, or email the records to our office (instructions are on the form).

Addresses and Phone numbers for local veterinary clinics:
https://www.parkcityvetclinic.com/local_contacts.html

records_request.pdf
File Size:	49 kb
File Type:	pdf

Download File

Client Pre-Registration Form

* Indicates required field

Name *

First

Last

Phone Number (Primary) *

Type *

Phone Number (Add'l) *

Type *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

I am a current/former client at: *

N/A Farrar Animal Clinic Animal Hospital of North Alabama Other (please specify):

Other Veterinary Clinic: *

** Note: You may enter info on ALL your pets. You do not need to submit a separate form for each.

Pet 1 Name *

Pet 1 Type *

Sex *

Breed *

Age or Birthdate *

Pet 2 Name *

Pet 2 Type *

Sex *

Breed *

AGE or Birthdate *

Additional Pet(s) or Other Information *

Submit