* Indicates a required field
Owners First Name*
Owners Last Name*
Spouse/Other First Name
Spouse/Other Last Name
Owner's Address* Unit/Apt#:
City:* State:* Zip:*
Have you already booked an appointment with us?*YesNo
If yes, when did you book your appointment with us?
In addition to phone calls and postal mail, we also like to communicate with our clients via e-mail. Please provide us with your e-mail address so we may send you important health information regarding your pet. Be confident that we will keep your e-mail address private, just as we do the rest of your account information.
Email* Confirm Email*
How did you hear about us?* —Please choose an option—Yellow PagesWebsiteDrive ByReferred By SomeoneOther
Dog/Cat*—Please choose an option—DogCat
Is your pet spayed or neutered?*YesNo
Sex*—Please choose an option—MaleFemale
Dog/Cat—Please choose an option—DogCat
Is your pet spayed or neutered?YesNo
Sex—Please choose an option—MaleFemale
Pet Name Dog/Cat—Please choose an option—DogCatIs your pet spayed or neutered?YesNo
BirthdaySex—Please choose an option—MaleFemaleBreedColor
I hereby authorize the veterinarians at Craig Road Animal Hospital to examine, prescribe for, and treat the above described pet(s). Any animal admitted or hospitalized shall receive the necessary diagnostic tests and treatment to ensure proper medical care. I agree to pay for all services rendered and medications, goods, and supplies when purchased. I understand that a deposit may be required for surgical or medical treatment. ALL FEES ARE DUE AT THE TIME SERVICES ARE RENDERED.
*By checking this box, I hereby agree to all of the above and acknowledge I have read the above agreement.
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Yes, please add me.No, thank you.
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5051 W. Craig Road Las Vegas, NV 89130
Monday - Friday: 6am - 8pm
Saturday and Sunday: 7am - 6pm
• After 8PM emergency care provided by Veterinary Emergency Critical Care
• On-site staffed 24/7/365
• 10% Military Discounts on services