Welcome to Coastal Animal Hospital!

We are excited to meet you and your furry family member and do our best to respect your time and make the visit as efficient as possible. To that end, please fill out the form below prior to your visit so we can cut down on the logistic paperwork upon your arrival.

 

New Client Information Form

We'll start with your info, then we find out about your furry friend next.


Your Pet's Info

Now let's get to the good stuff. Tell us about your little friend.


Dog Vaccines (date last given)

Cat Vaccines (date last given)

Have another friend?

Enter your second pet's info here, if needed.


Dog Vaccines (date last given)

Cat Vaccines (date last given)


The above information is accurate and true to the best of my knowledge and I hereby authorize the veterinarian and technicians to examine, diagnose, and treat my aforementioned pet(s). I assume responsibility for all charges incurred in the care of this animal and that these charges will be paid at the time of release. I understand that a down payment will be required for surgical treatments or for hospitalized patients. If payment becomes 30 days past due, service charges at an APR of 18% and a $5.00/month billing fee will be added to the balance due. I hereby consent to release any photo(s) and/or video images taken of my pet(s) by Coastal Animal Hospital for social media and/or marketing purposes.

Also, to get the most out of your appointment, we recommend you carve out a little time to watch our mini-webinar on our approach to Wellness. We know that by dedicating some time to watch this video you will learn something about how to better care for your pet and understand why we make the recommendations we do. We promise it will be worth your time. Wellness Video

Also, please check out our Wellness Plans which are customized to each of your pet’s life stages.

Puppy

Adult and Senior Dog

Kitten

Adult and Senior Cat

Need an appointment?

Schedule It Now

Will you Help-A-Needy-Animal (HANA)?

Donate Now

Watch Our Latest Blog Post

Watch Now

Check out our Recent Blog Posts

Pet Food Series, part 1: Raw Diets

Today we’re starting the first of our three-part series on a very tough topic to talk about – Raw Diets. There are people who feel very very strongly about it and we’re here to provide a balanced viewpoint on some of the marketing information and internet information that’s out there.

434 N. Coast Highway 101, Encinitas, CA 92024 • 760-633-2254