Welcome to Care Animal Hospital of Pleasant Prairie. We appreciate your interest in our services and look forward to meeting your pet. A completed registration form and your pet's complete records (both vaccine information and medical chart) are require. This helps to give us valuable insight in providing optimal care for your pet(s). Once all is received our staff will then contact you to schedule your pet’s appointment. The required sections have a red * asterisk.
  • Owner's Name

  • Co-Owner's Name

  • Address

  • Informed Consent

  • Cancellation Policy

  • Disclosure of Information

  • Electronic Consent

    By typing my name below as my electronic signature, I certify that I am the primary owner listed above, I am at least eighteen (18) years of age, and this information is correct to the best of my knowledge. I further acknowledge that no guarantee has been made as to the results that may be obtained. I understand that complications may arise which cannot be predicted and that I will be held financially responsible for any veterinary medical care necessitated by complications. By typing my name below, I consent to the practice contacting me by e-mail and by text message for the purpose of health information and appointment reminders. I will ensure that I keep the practice informed of my up to date mobile number at all times, or if the number is no longer in my possession. PAYMENT IN FULL IS EXPECTED AT THE TIME OF SERVICE
  • Pet Information

  • Housing/Diet

  • This is to help us visualize how the space is allocated for the various activities that your pet may perform on a daily basis (e.g. hiding, basking, soaking, feeding, playing, etc.). If you utilize lights (UVB, heat lamps, and/or traditional lighting), under heat mats, misting systems, etc., it is helpful to see where those are located in terms of where your pet likes to spend the majority of their time. It also helps us to see how you are monitoring the temperature and humidity and how you are feeding. Knowing where the enclosure is within or outside of the house and where it is in relation to other pet enclosures that you may have, is also useful. Thank you for helping us provide the best care that we can for your pet!
  • History

  • Fear Free

    As Fear Free certified professionals, we want to make your visit to our hospital the best it can be for you and your pet. Please answer a few questions so we can consider both your and your pet’s preferences for the visit. Please bring a special treat from home that we can give your pet during the appointment to create a positive experience.
  • Medical Records

  • Drop files here or
    Complete records means both vaccine information and medical chart.  We will not offer shelter/rescue/AKC first free exam discounts unless the certificate is present at the first appointment.