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CAREERS | Pet Portal

Hours 701 S Pacific Coast Hwy
Redondo Beach, CA 90277

New Client Form

Thank you for choosing Redondo Shores Veterinary Center to care for your pet. Completing this form prior to your appointment will greatly assist us in adding you and your pet to our system.

Co-Owner Name (first & last):

Co-Owner Phone Number:

Emergency Agent (outside of household)

Emergency Agent Phone

Pet #1

Pet's Name*

Species*

Color*

Breed*

Sex*

Age / DOB*

Pet #2

Pet Name

Species

Color

Breed

Sex

Age/DOB

Previous Care

Previous Veterinarian and Phone Number

Can we contact the previous veterinary care facility for your pet(s) records?

How did you hear about us?

If you were referred by a client, what is their name?

I understand that my pet’s picture may be used on social media sites.*

Reason for your pet's visit:

Redondo Shores Veterinary Center Forms

Redondo Shores Veterinary Center