New Patients

Welcome to Paws of Pleasanton!

Complete your new client paperwork online!

Before your first appointment, please complete the form below. If you have any questions, please don’t hesitate to contact us directly at 925-380-1888. We look forward to seeing you soon!

Name *

First

Last

Spouse/Partner Name

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Occupation/Employer

Spouse Occupation/Employer

Home Phone

Mobile Phone *

Work Phone

Spouse Phone

Email *

Spouse Email

Owner's Date of Birth *//

Preferred Method of Contact *

Home Phone
Mobile Phone
Text
Email

Select one or more options.

Patient Name *

Species (cat/dog/other) *

Breed *

Gender *

Male
Female

Color *

Spayed/Neutered *

Yes
No

Age (months or years) *

Add another pet? *

Yes
No

Do we have your permission to share your pet’s image and story on our website, social media, and other forms of media? *

Yes
No

Who should we contact for previous records for your pet?

I hereby authorize the veterinarian to examine, prescribe for, or treat the above described pet. I assume responsibility for all charges incurred in the care of this animal. I understand that payment is DUE IN FULL at time of service. A deposit of 50% of the treatment plan may be required before treatments or hospitalization of your pet. I recognize that financial concerns should be discussed PRIOR to examination and treatment. *

I have read and understand.

Signature *

Date *

File Upload

Click or drag files to this area to upload. You can upload up to 5 files.

Do you already have an appointment scheduled? *

Yes
No

Phone

Family-owned and operated veterinary care in Pleasanton, CA

Compassionate care for your four-legged family members.

At Paws of Pleasanton Animal Hospital, we know your pets are family. We strive to treat each and every patient who walks through our doors with kindness and respect. We offer cutting-edge medical technology to keep your pets feeling their best! We're also a proud member of the Pleasanton Chamber of Commerce.

Contact

Phone: 925-380-1888
Email: info@pawsofpleasanton.com

Location

3128 Santa Rita Road, Suite B
Pleasanton, CA 94566

Hours

Mon - Fri: 7:30 am - 6:00 pm
Sat - Sun: Closed

Have a question?

Complete the form below and we'll be in touch with you shortly.

Request your next appointment online!

New clients, please click here to fill out your paperwork prior to requesting an appointment. To request your appointment, click the button below.

At this time, we offer the option for either curbside or in-hospital visits with your pets as long as you are wearing a mask, have not tested positive or recently been around others who have tested positive or are feeling sick.