I confirm that I make an appointment at the Torrance location. Primary Owner's Last Name. Primary Veterinary Clinic. Date of Birth. Species Dog Cat Other. Reason for Visit. What is the sleeping breathing rate over a minute of your pet? Other medical conditions your pet is currently being treated for. I certify that I am over the age of 18 and am the legal owner or authorized agent of the legal owner of the pet being presented for veterinary medical care.
I understand and agree that all above information is accurate to the best of my knowledge. I understand that by signing this document I am responsible for all fees related to service and treatment. I understand that all fees are due upon release of the pet unless specific arrangements are made with hospital management before discharge.
The late fee will be charged on the first of every month thereafter, until the balance and all fees have been paid in full. New Patient Registration β Torrance Please select your location. Schedule An Appointment β Tustin. Schedule An Appointment β Torrance. Torrance Location. Owner Information. Patient Information. Having trouble scheduling? Please contact us. Contact Us.
