Printable Patient Registration Form
AV Veterinary Center
1055 W. Columbia Way #103, Lancaster, CA 93534 · (661) 729-1500
Print this form, complete it at home, and bring it with you. Completing registration online is the fastest way to get your pet registered before your visit.
Owner information
Home address
Authorized decision maker
Pet 1
Species
DogCat
Sex
FemaleMaleUnknown
Microchip
YesNo
Pet 2
Species
DogCat
Sex
FemaleMaleUnknown
Microchip
YesNo