New Client Registration Form

The co-owner is authorized to make decisions regarding care and payments.

In order for our team to be fully prepared for your appointment, we kindly request the medical records (not just the invoices) from your previous clinic be emailed, faxed, or dropped off at our office at least 24 hours in advance. Please email to quebechighlands@aol.com, fax to (303) 7960808, or dropped off at Quebec Highlands Animal Clinic, 7136 E. County Line Rd. Highlands Ranch CO 80126. Please to not wait to bring in records until the time of your appointment due to time constraints. If time allows, we may be able to contact your previous veterinarian for you. Please indicate their name and contact information.

I/We hereby authorize the veterinarian to examine, prescribe for, or treat the abovementioned pet(s). I/We assume responsibility for all charges incurred in the care of this/these pet(s). If cost is a concern, I am responsible for requesting an estimate of potential charges incurred, and understand it is only an estimate of costs. I/We understand payment is due at the time services are rendered. We accept Cash, Checks, major Credit Cards, and Care Credit. A $45 fee will be charged on returned checks.