(714) 996-7610

Our Yorba Linda, CA Office

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Imperial Highway Animal Clinic

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Veterinarian in Yorba Linda, CA | Imperial Highway Animal Clinic

New Client Form

  • MM slash DD slash YYYY
  • (Must use physical location, P.O Boxes are not accepted)
  • **The highest compliment you can give us is to refer your friends to us! You will receive one FREE Paw Stamp on your account. Once you receive 20 Paw Stamps, you are awarded $100 to spend on applicable services at your next visit with us as a THANK YOU for the referral. If you download our app, you will receive one FREE Paw Stamp! Please ask for more details.
  • Do you have a pet sitter, neighbor, relative, or friend who is authorized to bring in pet (s) and make treatment decisions in your absence?

  • We would like to know a little about your furry family. Please fill out below.

  • *If you have more than two pets at home, please fill out an additional form
  • *If you have more than two pets at home, please ask for an additional form

  • Please check next to your permission for use of:
  • **Please Note: Occasional we like to post adorable pictures of our client’s pets to our Facebook and Instagram page or our website! Client Privacy is of the utmost importance to us at Imperial Highway Animal Clinic. Your first and last name will not be disclosed or printed at any time; unless you wish to be tagged. We are asking permission to share, print, post and reference your pet’s name and picture only.

    Declaration: If my account should become delinquent, I am responsible for valid collection costs & attorney fees. A finance charge of 1.5% per month (or $8.00) charge, which is greater is due on all balances owed over 30 days. Insufficient funds aka bounced check fee is $45 per incident.

  • This field is for validation purposes and should be left unchanged.
Imperial Highway Animal Clinic

Location

17455 Imperial Highway
Yorba Linda, CA 92886

Phone: (714) 996-7610

Office Hours

Monday: 8:00 am – 6:00pm
Tuesday: 8:00 am – 6:00pm
Wednesday: 8:00 am – 6:00pm
Thursday: 8:00 am – 6:00pm
Friday: 8:00 am – 6:00pm
Saturday: 8:00 am – 3:00pm
Sunday: Closed

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