916-689-1688 Staff@hattonvet.com

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Client Registration Form

Thank you for choosing Hatton Veterinary Hospital.

Client Registration Form

Before your appointment, please complete this form as thoroughly and correctly as you can so that we may get to know you and your pet(s).

CLIENT REGISTRATION FORM

HATTON VETERINARY HOSPITAL, 7615 SHELDON ROAD
ELK GROVE, CA 95758

Name *

First

Last

Date *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Driver's License: *

Owner's Birthdate (Required by law for controlled Drugs)

Contact Number (Check the box)

Home Phone
Cell Phone/Pager
Employer
Work Phone

Home Phone

Employer

Cell Phone / Pager

Work Phone

Email Address *

Email

Confirm Email

Please check the box that you understand and acknowledge that you will only receive email reminder

Confirmed Email Reminder

Spouse Name: *

First

Last

DRIVER’S LICENSE:

CELL PHONE/PAGER:

EMPLOYER:

WORK PHONE:

Emergency Contact Name *

First

Last

EMERGENCY CONTACT CELL PHONE / PAGER:

EMERGENCY CONTACT EMPLOYER:

PLEASE LIST THE NAMES OF OTHER PERSONS THAT MAY BE BRINGING IN, PICKING UP, OR AUTHORIZING TREATMENT OF YOUR PETS:

Name 1 *

First

Last

Phone

Name 2 *

First

Last

Phone

How did you hear about us?

Google
Facebook
Hospital Website
Yelp
Drive By
Other
Referral

Other

If so, who can we thank?

(They will receive a $10 credit for every new referral)

PUBLIC HEALTH

Please check the box that apply as they could influence course of treatment or preventative recommendations.

Children in household
Person in home that is immunosuppressed (Chemotherapy, Transplant, HIV)
Pregnancy in household (a fetus’s immune system is not fully developed)
Pet used for therapy (taken to nursing homes etc.) or service pet
None of the above

Book An Appointment

At Hatton Veterinary Hospital of Elk Grove, CA, we take veterinary medicine to the next level. Book an appointment for your pet using our online system.

Book Appointment

Questions?

Please complete the form below, and a member of our team will get back to you as quickly as possible.

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Location

7615 Sheldon Rd.
Elk Grove, CA 95758

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Contact Information

Phone: 916-689-1688
Email: Staff@hattonvet.com

After Hours Emergency Contact:

Mueller Pet Medical Center: 916-428-9202

Vista Veterinary Specialist: 916-231-4445

Sacramento Veterinary Referral Center: 916-362-3111

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Hours

Mon-Fri: 8:00 AM – 6:00 PM
Sat: 8:00 AM – 4:00 PM
Sun: Closed

Name *

First

Last

Email *

Phone

How can we help you? *

Email

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