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New Patient Form

Please complete our New Patient Form using one of the options below if your pet is a new patient at Montecito Veterinary Center.

Book Exam Online (707) 539-2322

Option 1

Complete Online

Fill out and submit the online form below.

Option 2

Complete on Arrival

If you prefer, complete the form when you get to our hospital.

New Patient Form

Owner Information

Patient Information

Previous Veterinarian Information

Please fill this section in if we are not your first veterinarian. By listing your previous veterinarian, you are authorizing Montecito Veterinary Center to obtain medical records and vaccine history about your pet.
By submitting this form, I hereby authorize Montecito Veterinary Center to render medical care for my pet(s) as deemed necessary by the veterinarian. I understand that no guarantee can be given to the outcome of treatments and take it as my responsibility to comprehend any risks involved. I agree to pay for the cost of all services to which I consent to by written or verbal estimate. I understand that a deposit is required before diagnostics and treatments can be initiated and that payment in full is required prior to discharge of patient from Montecito Veterinary Center.

Caring for Pets in Santa Rosa

Montecito Veterinary Center is accepting new patients! Get in touch today to book your pet's first appointment.

Contact Us

Book Online (707) 539-2322