New Client Registration

Welcome to Companion Animal Clinic! Please share more information about you and your pet below.
New Client Registration Form

New Client Registration Form

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.

Pet Owner

If different from Daytime Phone

Secondary Contact

Mailing Address

Pet Information

Additional Information

If you indicated that you were referred by a customer and we would love to thank them!

Terms & Conditions

If you would prefer to talk with one of our team members, see our contact info for our phone number, hours, and directions.
Online Records and Prescriptions

Manage Your Pet's Care From Your Phone

Message Our Team Directly, View Vaccine Records, Refill Prescriptions, and Schedule Appointments!
Pet Food Delivery Purina Pro Plan Logo

Pet Food Delivered Directly to Your Door!

Companion Animal Clinic provides the convenience of pet food delivered directly to your home with Purina® Pro Plan®Vet Direct.  Get scheduling, pricing, and registration details!