New Patients

Our team is here to provide hope and comfort along with the most innovative treatments for pets with cancer. Animal Cancer Center is dedicated to enhancing quality of life for pets living with cancer. We create a personal treatment plan to meet the specific needs of you and your pet. Our goal is to provide care and understanding be presenting as many options as possible so you and your family can choose the best cancer therapy for your loved one. In partnership with your family veterinarian, Dr. Arteaga and the ACC staff will provide exceptional expertise and care. We also collaborate with other oncologists in veterinary and human medicine to help expand the cancer knowledge base, and improve the level of care for your pet.

If you are new to our office, please complete our New Patient Form. If you prefer to download this form, please click the button below.

Download New Patient Form

Online Form for New Patients

1st Owner Name(*)

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Street Address(*)

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City(*)

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State(*)

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Zip Code(*)

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Mailing Address(*)

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City(*)

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State(*)

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Zip Code(*)

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Email(*)

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Home Phone(*)

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Cell Phone(*)

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Employer(*)

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Work Phone(*)

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Owner's Birthdate(*)

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2nd Owner Name

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Street Address

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City

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State

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Zip Code

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Mailing Address

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City

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State

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Zip Code

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Email

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Home Phone

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Cell Phone

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Employer

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Work Phone

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Owner's Birthdate

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Referring Veterinarian(*)

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Pet's Name(*)

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Pet's Age or Birthdate(*)

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Breed(*)

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Color(*)

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Canine or Feline(*)

Canine Feline

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Male or Female(*)

Male Female

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Neutered or Spayed(*)

Yes No

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(For Cats Only) Hair Length

Long Medium Short

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I hereby authorize the veterinarian to examine, prescribe for or treat the described pet. I assume responsibility for all charges incurred in the care of this animal. I also understand that these charges will be paid at the time of service and that a deposit will be required for treatment. Unpaid invoices may be subject to finance charges. There will be a fee for all returned checks. We reserve the right to refuse service at our own discretion, exclusive of life stabilizing measures.

Signature of Owner(*)

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