New Client Information

Are you over 18 years of age? *
Thank you for your interest in establishing care with us here at Sunnyvale Veterinary Clinic. Unfortunately, you must be 18 years of age or older to make medical decisions on behalf of a patient. Please have a parent or guardian fill out this form as the primary owner for your pet. If you have any questions, please call us at (408) 736-8296.
What are your preferred pronouns?
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Phone Numbers

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Okay to text?

Pet Information

Sex *
Is your pet microchipped? * 🛈
Do you have pet insurance? * 🛈
Has your pet been to another veterinary clinic? *
Would you like to add another pet? *
Sex *
Is your pet microchipped? * 🛈
Do you have pet insurance? 🛈
Has your pet been to another veterinary clinic? *
Would you like to add another pet? *
Sex *
Is your pet microchipped? * 🛈
Do you have pet insurance? 🛈
Has your pet been to another veterinary clinic? *

Client Expectations

Being a respectful client at a veterinary clinic is essential to ensure the well-being of your pet and to maintain a positive relationship with the clinic staff. Due to an unprecedented demand for veterinary services in the midst of a staffing shortage, veterinary clinics are working diligently to serve the needs of their communities. Below are Sunnyvale Veterinary Clinic's client expectations and some guidelines to follow:
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Please read and sign:

Payment is expected at the time that service is rendered. We accept cash, checks, Visa, Mastercard, Discover, and CareCredit.
 
I, the undersigned owner or authorized agent of the above admitted patient, hereby authorize the doctors of Sunnyvale Veterinary Clinic to administer such treatment as is necessary and to perform procedures therapeutically and/or diagnostically. I further understand that no guarantee of successful treatment is made. I also assume financial responsibility for all charges incurred, and agree to pay all such charges at the time of release.
 
Signature of owner or responsible party (please sign with your mouse, stylus or finger): *
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Notice: Veterinary service during nighttime hours, some day time hours, and/or weekends, is provided at the discretion of the veterinarian in charge. Continuous presence of personnel may not be provided during these hours.