New and Current 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)
Address(Required)
How did you hear about us?

Pet Information

Sex(Required)
Are your pet's vaccines current?(Required)
Do you have your pet's medical records?(Required)
Does your pet have medical allergies or a history of seizures?(Required)
Is your pet spayed/neutered?(Required)
Is your pet microchipped?(Required)
Do you have other pets in the household?(Required)
Client Agreement(Required)