New Patient Center

Appointments can be scheduled by phone or existing clients can log in via Pet Portal- your online connection to your pet’s veterinary care. Please indicate if you have a special time or doctor’s request at the time of appointment scheduling. And since sometimes one cannot always anticipate that necessary trip to the veterinary office, we accept walk-ins visits as well. All fees are due at the time the patient is released. If using a credit card, we accept Visa, Mastercard, and Discover. Payments by personal check require your photo ID or a valid Nevada driver’s license. No out-of-state or starter checks are accepted.

Owner's Name - please include first and last names (required)

Owner's Address (required)

Apt./Unit Number

City (required)

State (required)

Zip Code (required)

Owner's Phone Number (required)

Alternate Contact Information

Alternate Contact's Name (recommended)

Alternate Contact's Phone Number (recommended)

Alternate Contact's Email (recommended)

In addition to phone calls and postal mail, we also like to communicate with our clients via e-mail. Please provide us with your e-mail address so we may send you important health information regarding your pet. Be confident that we will keep your e-mail address private, just as we do the rest of your account information.

Owner's Email (recommended)

How did you hear about us?

Pet Information

Pet's Name (required)

Pet's Species (required)

Pet's Sex (required)

Pet's Birthday (required)

Pet's Breed (recommended)

2nd Pet Information

Pet's Name

Pet's Species

Pet's Sex

Pet's Birthday

Pet's Breed

Authorization

I hereby authorize the veterinarians at Lone Mountain Animal Hospital to examine, prescribe for and treat the above-described pet(s). Any animal admitted or hospitalized shall receive the necessary diagnostic tests and treatment to ensure proper medical care. I agree to pay for all services rendered and medications, goods, and supplies when purchased. I understand that a deposit may be required for surgical or medical treatment. ALL FEES ARE DUE AT THE TIME SERVICES ARE RENDERED.

Owner's Signature (required)

Today's Date (required)

More:
Meet the Vets
Preparing For Your Visit