Start your journey in seconds

Please take a few moments to fill out our New Patient Form using one of the options below if your pet is a new patient at Eastham Veterinary Hospital.

A veterinarian in a white lab coat and gloves examining the face and eyes of a German Shorthaired Pointer while the owner assists with gentle restraint."\

Multiple ways to fill out the new patient form

Complete Online

Complete and submit the online form below.

Complete Form

Complete on Arrival

If you prefer, fill out the form when you get to our hospital.

View Open Hours

Owner Information

Owner First Name *

Owner Last Name *

Phone Number *

Email *

Address *

Apt/Suite

City *

State *

Zip Code *

Spouse/Partner

Secondary Number

How did you learn about our practice? *

Frequently Asked Questions About Patient Forms

What our clients say

Owner providing comfort to a senior wire-haired dog during a veterinary examination.

Great Staff! They treat our 2 dogs with care and concern.

Book an Appointment at Eastham Hospital

New pets are always welcome at Eastham Hospital. Our friendly veterinary staff looks forward to providing our neighbors in Citrus Heights and surrounding communities with the veterinary care they need.

Book Online
A broad-headed dog panting happily while wearing a heavy studded leather collar.