Client Registration Form

Owner Information

In the event your pet is prescribed a controlled substance that is regulated by the Controlled Substance Utilization Review and Evaluation System (”CURES”) We, Camarosa Veterinary Clinic, are required by law to record and report the Animal patient’s (Your pet’s) name as well as your (the Client’s) full name, date of birth, gender code, and address.

Pet Information

Fees are to be paid at the time services is rendered