Please note: We are open the following upcoming Saturdays:
October 7th and 21st, November 4th and 18th from 8 AM – 12 PM.

Client Update Form

Save time during your next appointment! Complete your required forms online from any device at any time before your visit.

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Client Update Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit.

#calhanvetyour visits with us on Facebook and Instagram

Pet Information

Pet's Name *

Species *

Canine
Feline

Breed

Color

Date of Birth/Age

Gender *

Male
Female

Spayed or Neutered? *

Any Known Allergies/Reactions? *

Is your pet’s Rabies vaccine up to date? *

When is the last time your pet was seen by a veterinarian? *

Who was your pet’s previous veterinary clinic? *

Would you like to add information for a second pet? *

Owner Information

Owner Name *

First

Last

Employer

Spouse/Other

Spouse Employer

Home Mailing Address

Address Line 1

Address Line 2

City

State

Zip Code

Which phone numbers would you like to share with us? *

Cellular
Landline
Work
Spouse

Cell Phone Number *

Landline Phone Number *

Work Phone Number *

Spouse Phone Number *

Email *

I would like to receive my pet's reminders by email:

Does your pet enjoy visiting the veterinary clinic?

If not, what are your concerns about the visit today?

Whom may we thank for referring you to us? (check one)

Friend or Relative
Google Search
Facebook
Instagram
Drove By
Staff Member
Shelter or Pet Store
AKC Veterinary Network
Other

Other

Credit Policy: We ask that all fees be paid at the time of service. We accept cash, Visa, MasterCard, Discover, American Express, CareCredit, and ScratchPay Payment Plans.

I have read and understand

Social Media/Photo Permission: Do we have your permission to post photos of your pet online? *

Does your pet have an Instagram handle? Feel free to share below if so. We would love to follow them from our hospital page! @calhanvet

I certify that I am 18 years of age or older and responsible for the financial and medical decisions for the above mentioned pet. *

I agree
I disagree

Signature *

Date *

Ready for a visit?

We proudly serve the pets of Calhan, Peyton, Falcon, Simla, Ramah, Elbert, and surrounding areas. We look forward to seeing you and your pet. Request an appointment for your pet by clicking the button below!

Appointment Online Pharmacy

Have a Question?

Complete our online form, and a member of our team will be in touch with you shortly.

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WHERE TO FIND US

13425 N. Calhan Highway,
Calhan, CO 80808

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Contact Information

P: 719-347-2702
E: questions@calhanvet.com

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Hours

Mon–Fri: 8:00am – 5:00pm
Sat – Sun: Closed

Name *

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Last

Email *

Phone

How can we help you? *

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