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We are pleased to welcome you to our practice. Please take a few minutes to fill out this form as completely as you can. We look forward to working with you in maintaining your pet's health.

Owner / Caregiver

Pet Information

Referral Information

Please tell us how you learned about our practice. Check any of the following boxes that apply.

If this was a personal recommendation who may we thank?

Social Media

Anchorage Animal Hospital may choose to use photographs of your pet on our website, Facebook Page or other forms of social media. Would you like to see pictures of your pet on these pages and agree to us using the images?


We will gladly prepare a written estimate of service fees if you desire. All professional fees are due at the time of services rendered. In case of extensive medical or surgical procedures a deposit will be required and the remainder of the balance is due at discharge.

Statement Of Ownership

By checking below you certify that you are the owner and or agent of the above animal and have the authorization to consent to treatment if and when it is needed.

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Online Forms
Our patient forms are available online so they can be completed in the convenience of your own home or office.
Make An Appointment
We will do our best to accommodate your busy schedule. Schedule an appointment today!