New Patients

Welcome! Thank you for choosing Copperfield Animal Clinic for your pet’s health care needs. Prior to your pets upcoming appointment, please fill out the form below.

If you have not yet scheduled an appointment, please request an appointment here.

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Phone(Required)

How did you hear about us?

Google

Facebook

Instagram

Yelp

Other

Pet Information

Name(Required)

Date of Birth or Approximate Age(Required)

Type Of Pet (Canine, Feline, Reptile, Bird, etc.)(Required)

Breed & Color(Required)

Sex(Required)

Male

Female

Are your pet's vaccines current?(Required)

Yes

Unknown

Do you have your pet's medical records?(Required)

Yes

Unknown

Does your pet have medical allergies or a history of seizures?(Required)

Yes

Is your pet spayed/neutered?(Required)

Yes

Is your pet microchipped?(Required)

Yes

Do you have other pets in the household?(Required)

Yes

Please list any additional pets here

Reasons or conditions that prompted your visit?(Required)

Client Agreement(Required)

Verify that I am the owner/authorized agent for the pet(s) listed on this form. I understand that I am financially responsible for any services/products provided and payment in full is due at the time services are rendered.

CAPTCHA

Book Appointment 281-859-4430

Visit Us

Location

15606 Ridge Park Dr,
Houston, TX 77095

Hours

Monday-Friday: 7:00 am - 7:00 pm
Saturday: 8:00am - 1:00pm
Sunday: Closed