Valley Emergency Pet Care

180 Fiou Lane, Ste. 101
Basalt, CO 81621

(970)927-5066

valleyemergencypetcare.com

Patient Registration Form

If you would like to make an appointment to see a specialist, you can assist us and expedite your check-in by going to the appropriate specialist form, entering your data and submitting the form prior to your appointment.

Please use the "Specialist Patient Registration Form" for the cardiologist, ophthalmologist, and internal medicine specialist.  Our other specialists request you use their specific registration forms, as indicated in the menu.

Thank you for your cooperation in letting us assist you.

File NameDescription / Comment
Client Registration FormUse for pets seeing the internal medicine specialist, cardiologist, ophthalmologist, or ultrasonographer
Exotics and Avian Client Registration FormUse for pets seeing the exotics and avian specialist
Orthopedic Client Registration FormUse for pets seeing the orthopedic surgeon