New Clients

        

PET MEDICAL CENTER ~ LET OUR FAMILY SERVE YOURS! 

         Family Owned & Operated Since 1973

 

       1534 14th Street     Santa Monica, California 90404     Telephone: (310) 393-8218

 

 

Monday - Tuesday - Wednesday  7:30 a.m. - 8:00 p.m.    Thursday - Friday  7:30 a.m. - 6:00 p.m.   Saturdays 8:00 a.m. - 3:00 p.m.

 

We close for lunch Monday through Friday from 1:30 p.m. - 2:30 p.m.    No Doctor on site until 8:30 a.m.

 

CLICK HERE for information on Mandatory Spay & Neuter Laws

REMINDER!

Beginning

October 1st, 2008,

Pet Medical Center will no longer automatically file insurance claims.

E-MAIL US

Home
Our Doctors
Our Staff
Our Services
Pet Packages
EFA-PAK Order Form
Pet Grooming
Pet Boarding
Pet Medications
Pet Gallery
Rainbow Bridge
Fun E-News
Sign Up For E-News
Contact Us
Newsletter
Spay & Neuter Laws
Pet Portals
Patient Forms

Telephone Us At:

(310) 393-8218

 

 

BUY YOUR PET

PRESCRIPTIONS

ONLINE - JUST

CLICK BELOW

 

Click Below For

Pet Health Videos!

 

CLICK HERE

to find out about

our Pet Packages!

 

 

 

Click Above

To Visit Our

Rainbow Bridge

Pet Memorial

 

 

 

CLICK HERE

to read our

Monthly

Newsletter

 

 

Be sure to read

Dr. Michael Yuan's

comic strip

"Cat Boxes"

 

FUN E-NEWS

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ANIMAL HOUSE MAGAZINE

 

 

 

 

 

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New Client Information Sheet

 

 

 

 

Date:          Do You Have An Appointment? Yes  No   If yes, when

 

Name:

 

Address:

 

City:                       State:            Zip:

 

Home Phone Number:

 

Cell Phone Number:

 

Work Phone Number:

 

Employer:

 

Address:  

 

City:                       State:            Zip:

 

Driver’s License Number:        Birth Date:

 

Social Security Number:

 

Spouse’s Name:

 

Whom do we have to thank for this referral? 

 

Would you like to be on our e-mail list?  You will receive product and service special information and our quarterly newsletter.  Pet Medical Center does not release these addresses to anyone.

 

Your E-mail Address:

 

 

 

 

Name:     Species:  CAT      DOG     OTHER 

 

Breed:     Sex:          Altered:

 

Color:      Date of Birth:

 

Vaccine Dates

 

Feline:                                                                          Canine:

            Rabies:                                              Rabies:          

            FVRCP:                                             DHLPP:          

            Leukemia:                                         Bordatella:    

            FIP:                                                     Coronavirus:

 

Describe any previous or ongoing medical problems:

 

 

 

 

By clicking the "SUBMIT" button, you agree to all of the terms and conditions as stated on this form.

 

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