Dog/Cat Welcome Form

Thank you for giving us the opportunity to care for your pet.  We will be happy to answer any questions you have about your pet’s health.  To insure the best care possible, please take time to fill in this form completely.  Thank You!

Dog/Cat Welcome Form
How did you learn of our hospital? Please check all that apply *

Number of Pets

Pet Health History

Pet One

Please check (√) any symptoms or problems that you have noticed about your pet. *

Pet Two

Please check (√) any symptoms or problems that you have noticed about your pet.

Pet Three

Please check (√) any symptoms or problems that you have noticed about your pet.


I hereby authorize the veterinarian to examine, prescribe for, or treat the above described pet(s). I assume responsibility for all charges incurred in the care of this animal(s). I also understand that these charges will be paid at the time of release and that a deposit may be required for surgical treatment. I also authorize the hospital to use photos and/or other likeness of myself and/or my pet(s) for their medical record or other purposes. MUST BE 18 OR OLDER TO AUTHORIZE.
Method of Payment:

What our Clients are Saying

Since Dr. Lynch's return to practice, my Senior dog's problem of many years has improved tremendously with VOM, Acupuncture/Acupressure and Chinese herbs. Dr. Lynch's ability to assess the symptoms and zero in on an effective treatment was remarkable. I am thrilled to have these alternative veterinary services available in Traverse City.

~ Cindy H.

I would highly recommend Dr. Lynch for treatment. The acupuncture treatments that he has done for my cat, Maxx, have done a world of good. It has made a huge difference and the effects from the treatments have been immediate for Maxx. It is so nice to have this treatment option available.

~ Lori F.

I love everyone at Companion Animal Hospital!!!! Best place to take your pets, hands down! Miss seeing you all...I could have never asked for a better group of people to help with my babies

~ Emily H.

We have been taking our two cats and one dog to Dr. Izo for many years. She is an excellent, caring and down to earth person, who is a remarkable at what she does and the care she provides. The entire staff at CAHTC is great to deal with and they truly have your pet's best interest at heart.

~ Mark H.

Thanks to the entire staff of Companion Animal Hospital for tirelessly working with me to assist my dog with her fear of nail cutting! She is now able to have this procedure without any fears or resistance! Additionally the wellness care and the sincere interest in her from the staff is so nice. Always pleasant and professional the Doctors and staff are above average. I recommend this Animal Hospital to all my friends and co-workers and many now use them with the same satisfaction.

~ Denise B.

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