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Rocklin Road Animal Hospital
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New Client Information Form

Thank you for considering our hospital as your pet’s provider of veterinary services. We are dedicated to maintaining the health of your pet and look forward to many future years together.

Please complete this form as fully as possible prior to your first appointment which will help expedite the registration process and give us valuable insight in to providing optimal care for your pet(s). The required sections have a blue * asterisk.

Step 1 of 2

50%
  • Owner/Agent:

  • Spouse

  • Pet Information

  • Date Format: MM slash DD slash YYYY

CONTACT INFORMATION

4730 Rocklin Road, Rocklin, CA 95677
(Across from Sierra Community College)

Phone: (916) 624-8255
Fax: (916) 624-8480

HOURS OF OPERATION

Monday – Friday: 8:00 am – 6:00 pm
Saturday: 9:00 am – 4:00 pm
Sunday: Closed

Read Our Reviews

© 2021 Rocklin Road Animal Hospital.
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  • New Clients
    • What to Expect
    • New Client Information Form
    • Make an Appointment
  • About Us
    • Location & Hours
    • Team
    • Community Work
    • Rx and Food Form
  • Services
    • Surgical Services
    • Diagnostics
    • Dermatology
    • Cardiology
    • Orthopedics
    • Opthalmology
    • Oncology
    • Pet Dental Care
      • Dental Wellness Package
      • Pet Teeth Cleaning Under Anesthesia – Pros and Cons
    • End of Life Care
    • Boarding
      • Boarding Reservation Request Form
      • Boarding Release Form
    • Grooming
    • House Calls
  • Pet Health
    • Pet Health Library
    • How-To Videos
    • Pet Health Checker
    • Pet Insurance Info
    • News
  • Pet Resources
    • Spay or Neuter
    • Puppy & Kitten Care
    • Payment Options
    • Petly Health Records
    • Pet Insurance
  • Emergencies
  • Pharmacy