New Client Form
Get Started

Welcome to Larchmont Animal Hospital + Urgent Care

We’re excited to welcome you and your pet to Larchmont Animal Hospital + Urgent Care. To help us provide the best possible care from your very first visit, we ask new clients to complete the form below prior to their appointment.

Submitting this form in advance allows our veterinary team to review important information about you and your pet, streamline check-in, and focus more time on what matters most — your pet’s health and comfort.

What This Form Is For

The New Client Form helps us gather essential details, including:

  • Pet owner contact information
  • Basic pet history and background
  • Previous veterinary care (if applicable)
  • Any current concerns or questions

This information allows our veterinarians and staff to prepare for your visit and deliver personalized veterinary care tailored to your pet’s needs.

Need Immediate Care?

If your pet is experiencing a medical emergency or urgent symptoms, please do not use this form. Instead, contact our hospital directly so we can assist you right away.

For urgent care needs, call our office during business hours.

Questions or Need Assistance?

If you have questions about the form or need help completing it, our team is happy to assist. Simply reach out, and we’ll guide you through the process.

Ready to Get Started?

Complete the New Client Form below to begin your pet’s care with a trusted veterinary team in Los Angeles, CA. We look forward to meeting you and your pet soon.

HOW TO COMPLETE THE FORM

Please fill out all required fields as accurately as possible. Once submitted, your information is securely sent to our team and added to your pet's medical record.

If you have multiple pets, a separate form may be required for each patient.

First
Last
State
Who else is authorized to make decisions about your pet's healthcare? *
First
Last
Pet Information
Payment is due in full at the time that services are performed. If being admitted into the hospital, we cannot begin the care of your pet until you have confirmed your desire to do so by 1) signing the client consent & estimate form, and 2) leaving an initial deposit of 50% of the upper end of the estimate. This is the only way that we have of knowing for certain that you want us to proceed with the care of your pet. We accept cash, Visa, Mastercard, Discover, and CareCredit payments. We neither extend credit, nor bill for services. All open invoices are sent to collections after 45 days unless prior arrangements are made. *