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Today:
8:30 am - 6:00 pm
Open Hours
925-449-4228
Phone Number
1543 First Street
Livermore, CA, 94550
Request an Appointment
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today:2023-06-01
New Client Form
Primary Owner's Info*
Prefix
*
First Name
*
Last Name
*
Phone Number
*
Your Email
*
Secondary Owner's Info
Prefix
First Name
Last Name
Phone Number
Address*
Street Address
*
City
*
State
*
Zip Code
*
Country
*
Pet #1
Pet's Name
*
Species*
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Canine
Feline
Color
*
Breed
*
Sex*
Female/Spayed
Male/Neutered
Female/Intact
Male/Intact
Unknown
Age
*
DOB
Microchip
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Yes, my pet is microchipped
No, my pet is not microchipped
Unknown, please scan my pet for a microchip
Microchip Number
Picture of Pet
Pet #2
Pet's Name
Species
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Canine
Feline
Color
Breed
Sex
Female/Spayed
Male/Neutered
Female/Intact
Male/Intact
Unknown
Age
DOB
Microchip
---
Yes, my pet is microchipped
No, my pet is not microchipped
Unknown, please scan my pet for a microchip
Microchip Number
Picture of Pet
Pet #3
Pet's Name
Species
---
Canine
Feline
Color
Breed
Sex
Female/Spayed
Male/Neutered
Female/Intact
Male/Intact
Unknown
Age
DOB
Microchip
---
Yes, my pet is microchipped
No, my pet is not microchipped
Unknown, please scan my pet for a microchip
Microchip Number
Picture of Pet
Pet Insurance
Does Your Pet Have Insurance?
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Yes, my pet(s) have insurance
No, my pet(s) don't have insurance
No, my pet(s) don't have insurance, but I'm interested in getting insurance
Insurance Name
Pet #1 Policy Number
Pet #2 Policy Number
Pet #3 Policy Number
Previous Care
Attach Records
Name of previous veterinary care facility
City & State
Phone Number
Can we contact the previous veterinary care facility for your pet(s) records?
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Yes, please get my pet(s) records
No, I have copies of my pet(s) records
How did you hear about us?
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Yelp
Your Town Monthly Magazine
Google Search
Family/Friend Referral
Another Veterinarian
Other
Appointment Policy
To allow ample time for all patients and scheduled surgical procedures, we operate primarily by appointment. Emergency cases shall always receive top priority, which is why occasional appointment delay is inevitable. Please realize that we make a sincere attempt to see each client on time. If an appointment is not available, "drop-off' appointments are available. A drop off means you could bring your pet at the time that works best for you and board him/her with us for part of the day. (Please note that there is a fee for day boarding.) Usually we will ask you to drop off' sometime in the morning so our doctors can examine the patient in between appointments or at the time purposely reserved for admitted patients. Once the doctor is done, we will give you a call to go over the diagnosis and to give you discharge instructions.
Cancellation Policy
Our goal is to keep our appointments available for our patients that need medical attention. For this reason it is important that we be notified of any cancellations ASAP. (The more notice we have, the more time that gives us to call clients waiting for an opening and allow them to adjust their schedules.) Clients calling after their appointment, or who miss their appointment, will be reminded about our policy. A second missed or "late" cancellation will result in the client being asked to pay a $20 deposit fee when scheduling future appointments which will be applied to their account as a credit toward their next visit. If that next visit is missed or has a “late” cancellation, the $20 appointment credit will then become a non-refundable cancellation fee. We hope you understand the need for this policy and thank you for allowing us the opportunity to take care of your pet's healthcare needs.
Return Policy
Just like with a human pharmacy, products that have left our facility cannot be returned. However, opened bags of dog and cat food may be returned or exchanged because they are guaranteed by the manufacturer.
Patient Arrival Policy
For your protection, and that of others, all dogs must be on a leash and properly controlled while in the waiting area or exam rooms. All cats must be presented in an appropriate cat carrier.
Payment Policy
Communications regarding finances is extremely important for good relations between client and staff. At the time of admission of a pet to the hospital we communicate with the client by giving an estimate of expected fees. Please communicate with us any problem you might have with paying your bill BEFORE the examination of your pet.
We require full payment at the time that services are rendered. A deposit may be required at the time of drop off for hospitalization/surgical procedures and full payment at the time of pick up. For your convenience, we accept cash, Visa, MasterCard, Discover, American Express, and Care Credit.
The undersigned is the owner and/or responsible person for the animal being cared for and authorizes the attending veterinarian to perform medical, dental, or surgical treatment as his/her professional judgment deems necessary. The undersigned understands that there may not be supervision of the animal when the clinic is closed.
The undersigned also accepts financial responsibility for the services rendered on behalf of the patient and understands that payment is due in full upon release of the patient from the hospital.
By signing, providing your information and submitting this form you have read and consent to all of Adobe Pet Hospital's policies.
Signature
*
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