(415) 859-5676
staff@thecitypethospital.com

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Home
About Us
- Our Team
- Testimonials
Services
Resources
Online Pharmacy
Contact
Appointment

Home
About Us
- Our Team
- Testimonials
Services
Resources
Online Pharmacy
Contact
Appointment

Welcome! Let’s Get Started

New Client Form

Thank you for choosing Daly City Pet Hospital! To save time at your first appointment, please complete our required New Client Form online.

New Client Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before you arrive.

Name *

First

Last

Email *

Primary Phone *

Secondary Phone

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Who else is authorized to make decisions about your pet's healthcare? *

First

Last

Phone

How did you find out about our hospital? If you were referred by someone, who should we thank? *

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

Yes
No

What is the microchip number?

Do you have a second pet? *

Yes
No

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

Yes
No

What is the microchip number?

Do you have a third pet? *

Yes
No

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

Yes
No

What is the microchip number?

Do you have a fourth pet? *

Yes
No

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

Yes
No

What is the microchip number?

Do you have a fifth pet? *

Yes
No

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

Yes
No

What is the microchip number?

Payment is due in full at the time that services are performed. If being admitted into the hospital, we cannot begin the care of your Pet until you have confirmed your desire to do so by 1) signing the client consent & estimate form, and 2) leaving an initial deposit of 50% of the upper end of the estimate. This is the only way that we have of knowing for certain that you want us to proceed with the care of your Pet. We accept Cash, Visa, MasterCard, Discover, and CareCredit payments. We neither extend credit, nor bill for services. All open invoices are sent to collections after 45 days unless prior arrangements are made. *

I have read and accept the financial policy.

Website

Want to Get in Touch?

Questions? Need help booking? Just want to say hi? Our friendly team is just a call or click away.

Our Contact Info



Where We Are

170 Skyline Plaza
Daly City, CA 94015



Our Hours

Monday – Saturday: 8:00 AM – 7:00 PM
Sunday: 9:00 AM – 6:00 PM



How to Reach Us

Phone: (415) 859-5676
Fax: 415-349-4781
staff@thecitypethospital.com

Have a Question?

Get in touch! We’re happy to hear from you.

All fields are required.

Name *

First

Last

Email *

Phone *

How can we help you? *

Name

Download Our App!

Keeping up with your pet’s health from your mobile device has never been easier! With our new app, you’ll have all of your pet’s health information at your fingertips. Consider it your pet’s personal organizer app. Best of all, it’s free! Plus, you’ll be able to communicate with us much more easily.

Request Appointments 24/7
Access Your Pet’s Medical Records
Organize All of Your Pet’s Important Information
Receive Automatic Reminders, Save Notes and Pics, and Much More
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