New Patient Form

Please fill out our New Patient Form using one of the options below if your pet is a new patient of one of the vets or veterinary specialists at Veterinary Specialty Center of Tucson.

OPTION 1
Complete Online

Complete and submit the online form below.

OPTION 2
Print & Complete

When you come to our hospital, bring the completed form.

Download Form

OPTION 3
Complete on Arrival

Complete the form when you get to our hospital, if you prefer.

New Patient Form

Please provide us with the following information. 

Owner Information

Emergency Contact

Patient Information

Primary Veterinarian Information

By listing your primary care veterinarian above, you are authorizing Veterinary Specialty Center of Tucson to release patient information to the primary care hospital or
veterinarian.
By submitting this form, I hereby authorize Veterinary Specialty Center of Tucson to render medical care for my pet(s) as deemed necessary by the veterinarian. I understand that no guarantee can be given to the outcome of treatments and take it as my responsibility to comprehend any risks involved. I agree to pay for the cost of all services to which I consent to by written or verbal estimate. I understand that a deposit is required before diagnostics and treatments can be initiated and that payment in full is required prior to discharge of patient from Veterinary Specialty Center of Tucson.

Caring for Pets in Tucson

Veterinary Specialty Center of Tucson accepts new clients to our specialty services and 24/7 emergency services.

Contact Us

+1 520-795-9955