Your Name *

First

Last

Spouse/Co-Owner

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Primary Phone *

Would you like to send/receive texts from this number? *

Yes
No

Spouse/Co-Owner Phone

Would your Spouse/Co-Owner like to send/receive texts from this number?

Yes
No

Alternative Phone

Alternative Phone Type

Home
Work
Cell
Other

Would you like to send/receive texts from this alternate number?

Yes
No

Email *

Emergency Contact Name *

First

Last

Emergency Contact Phone *

Please Note:

Your privacy is important to us. All information received in all forms and through other communications is subject to our Privacy Policy & Red Flag Law.

How did you hear about us? *

Who can we thank for the recommendation/referral? *

I hereby authorize the veterinarian to examine, prescribe for, or treat my pet(s). *

I authorize

I am aware that trained personnel will not be here beyond regular business hours. *

I understand

I understand it is my responsibility to inform the veterinary care team of relevant information regarding my pet's health, diet, medications, supplements, and/or treatments. *

I understand

Serious and sometimes fatal consequences can result from result withholding medical information. *

I understand

I am aware that ALL PAYMENTS ARE DUE AT TIME OF SERVICES RENDERED. We accept Cash, AZ checks with an AZ ID, Care Credit, Visa, Discover, MasterCard and American Express. P.A.W.S. does not offer payment plans, but we do offer Care Credit through an independent creditor for your convenience. *

I understand

In the event the account is placed for collections and/or litigation, I am aware that I am responsible for all costs. *

I understand

I assume responsibility for all charges incurred in the care of this animal. I also understand that these charges will be paid at the time of release and a deposit may be required for drop-off/surgical treatment. *

I understand

Please select one of the options below *

I am 18 years of age, or older, and agree by signing below that I am the legal owner and person responsible for the care and well-being of my pet(s).
I am under 18 and/or not the owner of the animal. I am aware that PAWS provides a Power of Attorney letter that must be signed in order for me to provide care for the pet(s) being seen today.

Pet's Information

Pet's Name *

Pet's Age/Date of Birth *

Species *

Dog
Cat

Sex *

Male
Male (neutered)
Female
Female (spayed)

Breed *

Color *

Is your pet: *

Indoor only
Outdoor only
Indoor/Outdoor

Is your pet microchipped? *

Yes
No

Microchip Number *

Do you have other pets? *

Yes
No

If yes, please list:

If you are a referral patient to PAWS, it is important to note that all routine care services, including laboratory services, vaccinations, surgeries, and dentistry, will be transferred back to your primary care provider. To facilitate informed and exceptional care for your pet, PAWS Integrative Veterinary Center will contact your primary care veterinarian via fax or phone, summarizing your pet's alternative or rehabilitative evaluation.

Would you like your records sent to your primary care veterinarian or hospital.

Yes
No

Primary care veterinarian or hospital *

To the best of my knowledge, ALL information about my pet is represented correctly.

Signature *

Date *

Thank you for trusting PAWS Veterinary Center with your pet’s care. We value our relationship and are committed to providing you and your pet with comprehensive, quality care. In light of this, we seek to maximize your care experience, minimize waiting time, and create a more efficient and harmonious environment. Being late to a scheduled appointment can negatively impact your and your pet’s experience, the care of our subsequent patients, and our team. Insufficient notice to cancel or reschedule impacts our ability to accommodate appointments for pets/owners with urgent scheduling needs. These mutual goals require us to establish a Tardy/No-Show/Insufficient Cancellation Agreement as follows:

Client Responsibilities:

Please be prompt. Clients arriving 15 minutes or more after their appointment time may be asked to reschedule, wait for the soonest available appointment, and/or be offered a drop-off appointment.

Should you need to cancel or reschedule, please contact our office as soon as possible, and no later than 24 business hours prior to your scheduled appointment. We understand same-day scheduled appointments are not able to provide 24-hour notice.

Clients who fail to give appropriate cancellation/rescheduling notice will be asked to provide a deposit equal to the price of the exam fee prior to scheduling their next appointment. Excessive no-shows will result in client dismissal.

Please verify and update contact information, so we can effectively communicate reminders or scheduling updates. Please respond to appointment confirmation correspondence.

PAWS Responsibilities:

We will make every effort to be timely and respectful of your time. Should patient emergencies impact our schedule, we apologize in advance for any inconvenience and will keep you informed.

We will provide comprehensive reminders via email, text messaging, phone calls and mailed post cards depending upon set preferences, scheduled services and timing.

We understand extenuating circumstances can impact your ability to keep appointment times/provide sufficient cancellation notice. Our Practice Manager is available to discuss these situations and assist in future scheduling.

We thank you in advance for your understanding and cooperation and trust this agreement will foster the best care for our clients and patients.

I understand and agree to the Tardy/Cancellation/No-show Policy.

Signature *

Date *

COVID-19 Update

New Patient Registration

Please Note:

Pet's Information

Online Pharmacy

Existing Patient Portal

Pet Health Library

Our team is here to help

Healing companion animals and honoring those who love them.

Proudly serving the pets of Tucson, AZ and beyond.

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