P: 970-226-0963
E: pawsoftherockies@gmail.com
F: 970-223-4486

P: 970-226-0963
E: pawsoftherockies@gmail.com
F: 970-223-4486

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Appointment

We’ll be closed from Wednesday, September 17th through Friday, September 19th while we complete some exciting clinic renovations.
We truly appreciate your patience and understanding during this time.

If your pet experiences an emergency while we’re closed, please reach out to one of the following trusted hospitals:
Coyote Ridge, Four Seasons Veterinary Specialists, Fort Collins Emergency, Royal Vista Veterinary Specialists, VCA Veterinary Specialists of Northern CO

We’ll be back Monday, September 22nd and look forward to welcoming you into our refreshed space!

New Client Form

Save time during your next appointment. Complete your new client form online from any device at any time before your visit.

Get Started

New Client Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pets before your visit.

CLIENT INFORMATION

Mr/Miss/Mrs/Ms/Dr Select One: *

Mr
Miss
Mrs
Ms
Dr

Name *

First

Last

Primary Email *

Co-Owner/ Spouse

First

Last

Secondary Email

Your Social Security #

(SS# and DL# is only required if you will be paying by check)

Your Driver’s License # *

(SS# and DL# is only required if you will be paying by check)

State *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Primary Contact? *

Phone # *

Please select *

home
cell
work

May we contact you via text? *

Alternate #

Please select

home
cell
work

Secondary Contact? *

Phone #

Please select

home
cell
work

Alternate #

Please select

home
cell
work

Names and ages of children in the household *

Employer

Work #

Can we call at work?

Co-Owner Employer

Work #

Can we call at work?

PATIENT (PET) INFORMATION

Patient Name *

Sex *

Male
Neutered Male
Female
Spayed Female

Species/Breed *

Color *

DOB or approximate age *

May we share your pets photo on social media? *

(personal information will not be shared)

Medical Conditions (allergies, drug reactions, heart conditions, etc...)

Behavior Concerns (chewing, house training, aggression, etc...)

Hospital where previous records can be obtained

Phone #

Does your pet have insurance? *

If yes, please list provider

If no, would you like information?

Do you have a second pet? *

Patient Name *

Sex *

Male
Neutered Male
Female
Spayed Female

Species/Breed *

Color *

DOB or approximate age *

Medical Conditions (allergies, drug reactions, heart conditions, etc...)

Behavior Concerns (chewing, house training, aggression, etc...)

Do you have a third pet? *

Patient Name *

Sex *

Male
Neutered Male
Female
Spayed Female

Species/Breed *

Color *

DOB or approximate age *

Medical Conditions (allergies, drug reactions, heart conditions, etc...)

Behavior Concerns (chewing, house training, aggression, etc...)

Do you have a fourth pet? *

Patient Name *

Sex *

Male
Neutered Male
Female
Spayed Female

Species/Breed *

Color *

DOB or approximate age *

Medical Conditions (allergies, drug reactions, heart conditions, etc...)

Behavior Concerns (chewing, house training, aggression, etc...)

Do you have a fifth pet? *

Patient Name *

Sex *

Male
Neutered Male
Female
Spayed Female

Species/Breed *

Color *

DOB or approximate age *

Medical Conditions (allergies, drug reactions, heart conditions, etc...)

Behavior Concerns (chewing, house training, aggression, etc...)

I hereby authorize the veterinarian to examine, prescribe for, or treat the aforementioned pet. I assume responsibility for all the charges incurred in the care of this animal today, and understand that these charges must be paid at time of service (today). *

I have read and accept the financial policy.

Signature

Clear Signature

Date *

Name

Ready for a Visit?

We proudly serve cats and dogs of Northern Colorado and beyond. We look forward to hearing from you and caring for your furry family member. Get in touch for any questions or to schedule an appointment.

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Location

1538 E. Harmony Rd. C2
Fort Collins, CO 80525



Contact Information

Phone: 970-226-0963
Email: pawsoftherockies@gmail.com
Fax: 970-223-4486



Hours

Mon-Fri:
Lobby is open 8 AM – 6 PM
Phones are available 9 AM – 5 PM
Sat-Sun: Closed
Our office closes daily for lunch from 12:30 PM – 1:30 PM

Name *

First

Last

Email *

Phone

Pet's Name *

How can we help you? *

Phone