Elwood Animal Clinic (626) 914-5671

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Elwood Animal Clinic

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    • Dental Care
    • Surgery
    • Advanced Digital X-rays
    • Spay And Neuter
    • Microchipping
    • Vaccinations
    • Wellness Exams
    • Nutritional Counseling
    • Behavior Management
    • Flea & Tick Control Products
    • Parasite Prevention & Heartworm Testing
    • Ultrasound
    • Onsite Diagnostics
    • Internal Medicine
    • Hospitalization
    • Dermatology
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OWNER/PATIENT REGISTRATION FORM

  • RELATIVE OR FRIEND TO BE CONTACTED IN CASE OF EMERGENCY DURING YOUR ABSENCE:

  • VACCINATION HISTORY:

    PLEASE INDICATE DATE THE VACCINE WAS GIVEN.
  • Clear Signature
    E-SIGNATURE (You agree your electronic signature is the legal equivalent of your manual signature on this form.)
  • MM slash DD slash YYYY
    I authorize Elwood Animal Clinic to release my pet’s medical records to other veterinary hospitals, specialists, or animal care providers upon request, as deemed necessary for continuity of care. I understand that records may be sent via fax, email, or other secure electronic means. I also authorize the release of vaccine history and relevant medical information to boarding facilities, grooming salons, training facilities, or city/county animal control, when required.
  • This field is for validation purposes and should be left unchanged.
Our Location

Come Visit Us

We warmly invite you to experience exceptional care at our practice. Our facility is designed with your comfort and convenience in mind, featuring modern amenities and a welcoming atmosphere.

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Elwood Animal Clinic
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Elwood Animal Clinic

(626) 914-5671

901 E Rte 66 Ste A
Glendora, CA 91740

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