Dental Admit Form

New to Foothills Animal Clinic? Fill out our New Client Form to streamline your first visit. We can’t wait to meet you and your pet!

Dental Admit Form

Please fill out the following form as thoroughly as possible before your scheduled appointment. Please note: All * fields are required. If you have any questions, please don’t hesitate to call us.


Medical history










Would you like to have the wart/growth/mass sent out for histopath?


Consent to perform extractions and necessary procedures

Clear Signature