Online Form

New Patient Registration Form

Save time at your next appointment! Please complete your required New patient registration form online from any device at any time before your visit.

New Patient Registration Form

Please complete this form completely and accurately so that we can get to know you and your pet(s) before your visit. If this is an emergency or your pet requires immediate attention, please call us at 623-979-0303 for a faster response.

Animals Medical History

Vaccinations; please give the date last received.

Social Media Consent

FINANCIAL RESPONSIBILITY: I understand that I will be expected to pay for services at the time of each visit. I further agree to pay all finance charges, collection costs, attorney fees, and other costs that may be incurred to enforce collection of any amounts outstanding.
Consent For Medical Services In the event of illness or if emergency care is needed, Cactus Pet Hospital will try to contact me first. If unable to reach me, I authorize them to treat my pet and assume full responsibility of payment for those services. In the event that my animal is not picked up within five days of the release date, the animal will become property of the hospital and will be dispositioned as required to settle the account. We extend our knowledge and capabilities in order to serve you and your pet. However, medicine isn’t an exact science and offers no guarantees. Therefore, we at Cactus Pet Hospital are unable to guarantee services. We do recognize and appreciate that you entrust the care of your special pet with us.