Cat with computer mouse

Pet Drop-Off Information

Please fill this form out prior to your appointment.
If you have any questions, call us at 763-315-4200

If we have not seen your pet before, please fill out
the New Patient form also.

If you would like to download a form that you
can fill out, print, and bring in with you on your next visit,
please download our pdf pet drop-off form.

(requires Acrobat Reader)

Pet Owners Information:

Name
Email Address
Home Phone
Alternate Phone

Your Pet's Information:

Pet's Name
Species
Breed
Sex and Status
When did your pet last eat?
What did your pet eat?
Please list any and all medications your pet has taken in the
last 24 hours, the amount given, and at what time.
Describe the reasons for your pet's visit, any symptoms you have noticed,
the history leading to this condition, previous major medical problems,
and any special treatment requests you have.
If problems arise, would you like us to: