New Client & Patient Registration Form

Welcome!

Thank You For Choosing Elkins Park Veterinary Hospital & Boarding Kennel

If you are scheduled for your first appointment with us, please fill out the form below and we will be in contact with you shortly!

New Client & Patient Registration Form

  • Please enter your first name.
  • Please enter your last name.
  • Please enter your phone number.
    This isn't a valid phone number.
  • Please enter your email address.
    This isn't a valid email address.
  • Please enter your street address.
  • Please enter your city.
  • Please enter your state.
  • Please enter your zip code.
  • Please enter your emergency contact.
  • Please enter your emergency contact phone.
    This isn't a valid phone number.
  • Please enter the date.
  • Please enter your pet's name.
  • Please enter your pet's species.
  • Please enter your pet's breed.
  • Please enter your pet's age.
  • Please enter your previous veterinarian.
  • Please indicate whether your pet is male or female.
  • Please indicate whether your pet is neutered/spayed.
  • Please enter a message.
  • If you were referred by someone let us know who it is so we can make sure to thank them. (Please include first and last name)

Why Elkins Park?

  • State of the Art Facility

    Our newly renovated facility provides the absolute best experience for you and your pet.

  • Experienced and Dedicated Staff

    The knowledgable staff at Elkins Park Veterinary Hospital provides the highest quality care for your pet. 

  • Decades of Service

    For over 25 years, our experienced veterinarians have been devoted to keeping your pet healthy and happy.

Treating your pets, like our pets.

Real Owners Tell Their Stories

  • “Dr. Katz is a gem - she combines care, calm and cure!”

    - Amy W.
  • “We enjoyed our experience with him. Would definitely recommend him.”

    - Harvey S.
  • “I recently took my sun conure there to see the exotic veterinary doctor. He took his time explaining everything to my husband and I while being extremely caring to our pet.”

    - Tiffany C.