Large Animal Form

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Owner Name *

First

Last

Phone *

Email *

Who should we contact to make medical decisions today? *

Owner (Named Above)
Someone Else (Named Below)

Animal's Name/Number *

Species *

Alpaca
Cattle
Goat
Horse
Llama
Poultry
Sheep
Other

What is the main concern for visiting the veterinarian today? *

Breed *

Color *

Age/Date of Birth *

Sex *

Male
Male (castrated)
Female

When did you get your animal? *

Where did you get your animal? *

Animal Swap
Breeder
Raised yourself
Online
Friend
Other

you older your

Will this animal ever enter the food chain?

If poultry, are you eating/selling eggs from this patient?

What kind of feed do you feed your animal, and how much do you feed? *

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

Once your animal’s exam is completed, we will review the exam findings and recommendations. I understand that financial responsibilities for services rendered are due at the time of discharge. *

I understand

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

I agree
I disagree

Signature *

First

Last

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!

Call to schedule

Location

13425 N Calhan Hwy,
Calhan, CO 80808

Working Hours

Mon – Fri: 8:00am – 5:00pm

Sat & Sun: Closed

Contact Info

(719) 347-2702

questions@calhanvet.com

After hours services may be available pending staffing. Please call (719) 347-2702 for availability.