Skip to main content

March Updated Hours

March 12th: Closing at 6 pm
March 18th: Closed 11 am – 2 pm

New Patient Registration Form- Feline & Canine

Welcome to Care Animal Hospital of Pleasant Prairie. We appreciate your interest in our services and look forward to meeting your pet. A completed registration form and your pet’s complete records (both vaccine information and medical chart) are require. This helps to give us valuable insight in providing optimal care for your pet(s).

Once all is received our staff will then contact you to schedule your pet’s appointment. The required sections have a red * asterisk.

Step 1 of 2

  • Owner's Name

  • Co-owner's Name & Contact #

  • Address

  • Pet Information

  • Date Format: MM slash DD slash YYYY
  • Fear Free Questionnaire

    As Fear Free certified professionals, we want to make your visit to our hospital the best it can be for you and your pet. Please answer a few questions so we can take both you and your pet’s preferences for the visit into consideration Your Cat's Preferred High Reward Treat
  • Medical Records

    Your pet's complete records must be received before scheduling an appointment. Complete records means both vaccine information and medical chart. We will not offer shelter/rescue/AKC first free exam discounts unless the certificate is present at the first appointment.
  • Drop files here or
  • Share Your Pet's Picture!

    We are able to add your pet's picture to their medical record. This is optional and is not required. Choose File