Call 520.886.1125

180 N. Harrison Road
Tucson, AZ 85748 Map It
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HOURS
Mon-Fri 7:30am-5:30pm
Sat 9:00am-4:00pm
  • Home
  • Services
    • Comprehensive Physical Exam (more than a brief glance!)
    • Wellness Packages
    • Individualized Preventive Care
    • Pet Dental Care with Radiographs!
    • Safer Surgery
    • Behavior Therapy
  • Our Team
  • Appointments
    • Request an Appointment
    • Patient Forms
      • New Patient Registration
      • Prescription Request
      • Medical History Form
      • DROP OFF CHECK-IN CONSENT
      • CURBSIDE CHECK-IN FORM
      • SURGICAL/ ANESTHETIC CONSENT
      • Telemed Consult Form
      • DENTAL TREATMENT CONSENT FORM
      • Health Certificate Info
  • Blog
    • Telehealth Consults for Pets- Cimarron Animal Hospital
    • Curbside Check In and Telehealth Exams – Cimarron’s New Services
  • Pet Resources
  • Contact
  • Home
  • Services
    • Comprehensive Physical Exam (more than a brief glance!)
    • Wellness Packages
    • Individualized Preventive Care
    • Pet Dental Care with Radiographs!
    • Safer Surgery
    • Behavior Therapy
  • Our Team
  • Appointments
    • Request an Appointment
    • Patient Forms
      • New Patient Registration
      • Prescription Request
      • Medical History Form
      • DROP OFF CHECK-IN CONSENT
      • CURBSIDE CHECK-IN FORM
      • SURGICAL/ ANESTHETIC CONSENT
      • Telemed Consult Form
      • DENTAL TREATMENT CONSENT FORM
      • Health Certificate Info
  • Blog
    • Telehealth Consults for Pets- Cimarron Animal Hospital
    • Curbside Check In and Telehealth Exams – Cimarron’s New Services
  • Pet Resources
  • Contact

Curbside Check-In Form

  • During the Covid-19 Challenge, we are taking patients in through Curbside Check-In in order to minimize the number of people in the building, to help us all engage in appropriate social distancing. This helps keep you safe and helps keep us safer so we can be here for you! We understand that you may have concerns about your pet coming into the building without you, but we can tell you that most have been doing just great! We do encourage Kitty and Canine Calming Kits (medication to calm your pet). Call Us if you are interested! We ask that Pet Parents stay in their cars when possible. Call us if you need anything and we will help! We understand that it's getting HOT outside, so you can drop your pet off, by filling out this form! Please participate in a couple Family Wellness Screening questions for everyone's safety.
  • Date Format: MM slash DD slash YYYY
  • Please prevent your pet from urinating for 3 hours prior to your visit, if possible. (Close doggy doors and restrict access to litter boxes)
  • I authorize the use of appropriate anesthetics and other medications. I understand that during this procedure(s), unforeseen conditions may be revealed that necessitate an extension of the same or different procedure(s) than set forth above. I also understand that, despite pre-surgical exams and diagnostics, unforseen conditions may exist that may cause unexpected anesthetic complications. I authorize the Doctors and Staff to do everything within their power to prevent anesthetic complications.
  • In the unlikely event of Cardiac Arrest, I authorize the following:
  • I would also like the following procedures performed
  • MEDICAL HISTORY

  • Please fill in the health questions below so we can be sure to cover everything while your pet is here. This also helps us keep your pet's record up to date between visits!
  • Please check all that apply
    Please check all that apply
  • Please check all that apply
  • Remember Heartworm Preventives, Flea/Tick Protection, Vitamins and Natural supplements
  • CONTACT INFORMATION

  • It is CRITICAL that we have contact information so that you can be reached while your pet is here.
  • CONSENT

  • Date Format: MM slash DD slash YYYY

For Emergency Pet Care After Hours, Please Call (520) 886-1125

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