New Client Form

Welcome to Katella Animal Clinic!

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Please complete the following form online or download the form and bring it with you to your upcoming appointment, or you can email it to us at [email protected].

If you have questions, please contact us. We look forward to seeing you!

Download Form

Name *

First

Last

Email *

Primary Phone *

I consent to receive SMS text messages from Katella Animal Clinic. Msg & data rates may apply. Reply STOP to opt-out. *

Yes
No

Secondary Phone

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Who else is authorized to make decisions about your pet's healthcare? *

First

Last

Phone

How did you find out about our hospital? If you were referred by someone, who should we thank? *

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Color *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

Yes
No

Does your pet have any previous problems? (i.e. surgeries, vaccine or medication reactions)

I hereby authorize Katella Animal Clinic to render surgical and medical care for my pet(s). I understand that payment is REQUIRED IN FULL AT THE TIME OF SERVICE and that a deposit most likely will be required. I am aware that Katella Animal Clinic does not have payment plans or the ability to bill for services. We require all pets to be free of ticks/fleas and to have a maintained coat during any stay; in the event, your pet should need any such services, we will make every effort to contact you before any services are preformed. *

I have read and accept the financial policy.

Digital Signature *

Today's Date *

Phone

Have a question?

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

High-quality veterinary care for the pets of Anaheim, CA and beyond.

Katella Animal Clinic is a full-service animal clinic located in Anaheim, CA. We look forward to seeing you soon!

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Contact Info

Text: 714-535-6791

Call: 714-535-6791
Email: [email protected]

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Hours

Mon - Fri: 8am - 6pm
Sat & Sun: Closed
On Wednesdays, our clinic is reserved for surgeries and no appointments can be made.

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Location

10712 Katella Ave.
Anaheim, CA 92804

BOOK an Appointment Online!

Use our online apppointment request form to book an appointment online in minutes.

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