Forms

West Valley Pet Clinic & Avian Medical Group provides convenient online forms for our clients. You may complete a form at your convenience and submit it online, saving time and frustration at check-in.

We currently offer the New Client Registration form, Drop Off Appointment form and our Surgical Consent form in an online format—simply complete and submit these prior to your scheduled appointment.

Which form would you like to see?

New Client Registration form
Drop Off Appointment form
Anesthesia Consent form–Dog & Cat
Anesthesia Consent form–Exotic & Pocket Pet
Avian History
  • I am the owner, or owner’s agent, of the above named pet. I am over 18 years of age, and I have the authority to give this authorization and do so voluntarily, having been advised of all of the probable and material risks associated with the treatment.I understand that unforeseen conditions may be revealed during the identified procedures which, in the opinion of the attending veterinarian, may require more extensive or different procedures or treatments. I authorize the performance of any procedures or treatments which are necessary in the professional opinion of the attending veterinarian if reasonable efforts to contact me in advance are unsuccessful.
  • The veterinarian has described the procedures identified above and has explained to my satisfaction the purpose for performing them and the risks involved with them. I realize that there is a risk of death with every anesthetic, and that there can be no guarantee regarding the outcome of any procedure.I authorize the performance of the identified procedures and the use of associated anesthetics and other medications.
  • I am the owner, or owner’s agent, of the above named pet. I am over 18 years of age, and I have the authority to give this authorization and do so voluntarily, having been advised of all of the probable and material risks associated with the treatment. I understand that my pet, being an exotic animal, has an additional increased risk associated with sedation and/or anesthesia.I further understand that unforeseen conditions may be revealed during the identified procedures which, in the opinion of the attending veterinarian, may require more extensive or different procedures or treatments. I authorize the performance of any procedures or treatments which are necessary in the professional opinion of the attending veterinarian if reasonable efforts to contact me in advance are unsuccessful.
  • The veterinarian has described the procedures identified above and has explained to my satisfaction the purpose for performing them and the risks involved with them. I realize that there is a risk of death with every anesthetic, and that there can be no guarantee regarding the outcome of any procedure.I authorize the performance of the identified procedures and the use of associated anesthetics and other medications.

If you prefer, you may download the forms, complete theme at home, and either bring it with you or fax it to our clinic in advance of your appointment. Our fax number is (408) 996-9434.

New Client Registration form–downloadable
Drop Off Appointment form–downloadable
Anesthesia Consent form–Dog & Cat–downloadable
Anesthesia Consent form–Exotic & Pocket Pet–downloadable