• (530) 926-5266
  • 1130 N Mt Shasta Blvd, Mt Shasta, CA 96067
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Mt. Shasta Animal Hospital
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Mt. Shasta Animal Hospital

New Client Registration Form

Thank you for considering our hospital as your pet’s provider of veterinary services. We are dedicated to maintaining the health of your pet and look forward to many future years together.

Please complete this form as fully as possible prior to your first appointment which will help expedite the registration process and give us valuable insight in providing optimal care for your pet(s). The required sections have a red * asterisk.
  • Owner's Name

  • Co-owner's Name & Contact #

  • Pet Information

  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY

Have a Question? Need to book an appointment?

Connect with us and one of our team members will be happy to assist you.
Address

1130 N Mt Shasta Blvd,
Mt Shasta, CA
96067

Contact

Phone: (530) 926-5266
Fax: (530) 918-4602

Hours

Monday – Friday: 8 AM – 6 PM
Saturday: Temporarily Closed
Sunday: Closed

Contact Us

© 2023 Mt. Shasta Animal Hospital.
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  • Home
  • About Us
    • Meet Our Team
    • Our Facility
    • Community Involvement
    • Pet Photos
    • Payment
    • Angel Fund
    • Careers
  • New Clients
  • Services
    • Online Pharmacy
    • General Services
      • Dentistry
      • Laboratory
      • Kitten & Puppy Care
      • Pharmaceuticals
      • Surgery
      • Annual Care
    • Special Services
    • Emergencies
  • Pet Health
    • Pet Health Checker
    • Pet Health Library
    • Pet Food Recalls
    • Pet Insurance
    • Product Recalls
    • How-To Videos
    • News
    • Blog
    • Helpful Links
  • Pet Portal
    • Pet Records
    • Pet Records Sign Up
    • Refill Requests
    • Mobile App
  • Contact