VetCheck Pet Registration Form

Individual PetForm

Click here to submit your pet's information!

Multi-PetForm

Submit information for up to 3 pets at once!

Register Your Pet at VetCheck

Welcome to VetCheck! We're excited to have you and your pet join our family. Registering your pet is the first step toward personalized veterinary care and access to our comprehensive health services. Please fill out the form below to start your pet’s journey to optimal health. It’s quick, easy, and secure. If you have any questions along the way, don’t hesitate to reach out to us.

Veterinary Release Form

Please enable JavaScript in your browser to complete this form.

- Step 1 of 4

First off, lets get to know you a little bit!

Layout

Your First & Last Name *

Phone Number

Emergency Contact Number *

Email Address *

Emergency Contact *

Emergency Contact Email *

Home Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Save and Resume Later

Great to meet you! Now, who's the lucky pet we'll have the pleasure of caring for today?

Layout

Pet's Name *

Weight *

Breed *

Is your pet up to date with all vaccinations ( this includes worming medication) ?

Please Upload Your Pets most Recent Vaccination Forms

Click or drag files to this area to upload. You can upload up to 2 files.

I'll Bring the Forms When I come and Visit

Age/DOB *

Species *

Color *

Gender *

Male
Female

Spayed/Neutered

Spay
Neuter
Neither

Microchip ID *

If your pet doesn't have a microchip just put TBH

Layout

How many times a day do they eat? *

What's there Current Medication(s) *

Is your pet on any flea control medication?

What brand?

What food brand does your pet eat? *

Any prior Surgeries/Illnesses/Injuries we should be aware of?

Any other Medication History?

Is your pet allergic to anything?

How's Your Pet Feeling?

Are There Any Other Pets Visiting today?

Layout (copy)

Pet's Name (copy) *

Weight (copy) *

Breed (copy) *

Is your pet up to date with all vaccinations ( this includes worming medication) ? (copy)

Please Upload Your Pets most Recent Vaccination Forms (copy)

Click or drag files to this area to upload. You can upload up to 2 files.

Field #79 (copy)

I'll Bring the Forms When I come and Visit

Age/DOB (copy) *

Species (copy) *

Color (copy) *

Gender (copy) *

Male
Female

Spayed/Neutered (copy)

Spay
Neuter
Neither

Microchip ID (copy) *

Layout (copy)

What food brand does your pet eat? (copy) *

How many times a day do they eat? (copy) *

What's there Current Medication(s) (copy) *

Is your pet on any flea control medication? (copy)

What brand? (copy)

Any prior Surgeries/Illnesses/Injuries we should be aware of? (copy)

Any other Medication History? (copy)

Is your pet allergic to anything? (copy)

Layout

How's there appetite?

Normal
Increased
Decreased
Not Eating

How's there water intake?

Normal
Increased
Decreased
Not Drinking

How's there Defecations

Normal
Increased
Decreased
Not Defecation

Has your pet ever snapped, bitten, or acted aggressively towards another animal or person?

How's there energy level?

Normal
Increased
Decreased
Not Active/Responsive

How's there Urination?

Normal
Increased
Decreased
Not Urinating

How's there Weight/Body Condition?

Normal
Overweight
Marked Weight Loss
Very Thin

Are you aware of any reason I should approach your pet with caution.

Save and Resume Later

Veterinary Services

Layout

Hospital Comprehensive Examination
Hospital Spay and Neuter Day Appointment
Virtual Vetcheck Exam
Virtual Vetcheck Follow-up Exam
Mobile In House Appointments

*Price Varies on Spay and Neuter

Dental Exam/Services
Wound/Lesions
Allergies
Fleas
Internal/External Parasite(s)

Ear Infection
Watery/Droopy Eyes
Lethargic
Not Eating and or Pooping For More Than 2-3 Days
Other Reasons

Please Explain Other Reasons

Layout

When was your last Vet Visit? *

What's the Reason for Your Visit? *

Save and Resume Later

Owner Consent and Liability Waiver

Consent 1 *

I, the undersigned, confirm that I am the owner or authorized agent of the above-mentioned pet and have the authority to authorize medical treatment.

Consent 2 *

I understand that during the performance of the foregoing procedure(s), unforeseen conditions may arise that may necessitate an extension of the foregoing procedure or different procedures.

Consent 3 *

I also understand that it is impossible to guarantee the outcome of any medical procedure and that risks and the possibility of complications exist.

Pet Owner's Signature *

Date of Signature *

Save and Resume Later

Heads up! Saving your progress now will store a copy of your entry on this server and the site owner may have access to it. For security reasons, sensitive information such as credit cards and mailing addresses, along with file uploads will have to be re-entered when you resume.

Go Back

Your form entry has been saved and a unique link has been created which you can access to resume this form.

Enter your email address to receive the link via email. Alternatively, you can copy and save the link below.

Please note, this link should not be shared and will expire in 30 days, afterwards your form entry will be deleted.

Copy Link

Email *

Personalized and Professional

Veterinary Care that Comes to You!

At VetCheck, we’re dedicated to making high-quality veterinary care accessible and convenient. Whether you need our mobile vet services to come to your home or prefer to visit our Whittier clinic, our team is committed to providing holistic care that addresses the root cause of your pet’s issues, not just the symptoms. Experience the difference with our personalized approach to veterinary care.

Set Up a Vet Consultation

No Appointment? No Problem! Walk-In Vet Services Available

Contact Us!

Monday - Friday 9am to 6pm

Saturday 9am to 2pm

Sunday Closed

hellofromvetcheck@gmail.com

(833) 838-2435

Important Links:

Vets First Choice - Our Clinic Pharmacy
Standard Process Patient Direct - Supplements
Chewy Prescriptions
Veterinary Partners - Info
Integrative Veterinary Care

Individual PetForm

Multi-PetForm

Register Your Pet at VetCheck

First off, lets get to know you a little bit!

Great to meet you! Now, who's the lucky pet we'll have the pleasure of caring for today?

How's Your Pet Feeling?

Veterinary Services

Owner Consent and Liability Waiver

Personalized and Professional

Veterinary Care that Comes to You!

No Appointment? No Problem! Walk-In Vet Services Available

Contact Us!

Monday - Friday 9am to 6pm

Saturday 9am to 2pm

Sunday Closed

Important Links:

Payment Plans Arrangements