New Patient Form

Welcome to the Southern California Veterinary Group family of practices! Prior to your first visit, please take a moment to complete and submit this form, and feel free to call your hospital directly if you have any questions about your upcoming appointment. If you don't have an appointment yet, click here to request one. We look forward to meeting you and your pet!

We are paperless whenever possible! Please provide your email address so that we may send you email reminders specific to your pet's care.

Client / Owner Information
Spouse / Co-Owner Information
Alternate Emergency Contact
Other than Owner(s)
Pet Information
Pet Information
Pet Information
How did you hear about us?
Doctor Referral
If you have been referred to us by another veterinarian, please provide their information below.
Pet Photography

We love to include our pet patients in our social media and other promotions! Client confidentiality, including owner name, image and personal information, will be maintained unless otherwise authorized. We may use your pet's name for photo identification.

I authorize the release of photos of my pet for such purposes and understand that if my pet’s photo is used there will be no compensation for this use, and the photo is the sole property of SCVG. 

Please note that all fees are due when services are rendered. If your pet is hospitalized or here for surgery, prepayment of the full low-end of the estimated amount is due upon hospitalization. We accept cash, personal checks, debit, MasterCard, Visa, Discover, American Express, and Care Credit. There is a $25 fee for all returned checks. A 0.5% service charge will be applied to all balances over 30 days, with the addition of any or all collection agency and/or attorney fees necessary to collect the full amount due.

I authorize SCVG veterinarians and staff to examine, prescribe for, and/or treat my pet(s). I understand that no guarantee can be made as to the results obtained from medical treatment. I am over 18 years of age, and assume financial responsibility for all charges incurred by patients on my account. I further understand that if it is necessary to send my account to collection, I will be responsible for any collection fees, legal and/or court costs.