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  • Home
  • Who We Are
    • Our Team
    • Client Vaccination Policy
    • Our Vision, Mission, and Core Values
  • Our Services
    • Preventative Care
    • Vaccinations
    • Urgent and Emergency Care
    • Dentistry Services
    • Diagnostic Testing
    • Exotic Pet Care
    • Prescription Diets
    • Orthopedic and Soft Tissue Surgery
    • Prescription Parasite Prevention
    • Routine and Medical Bathing
    • End of Life and Hospice Care
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  • Social
  • Contact
    • After Hours Emergency Care
  • Home
  • Who We Are
    • Our Team
    • Client Vaccination Policy
    • Our Vision, Mission, and Core Values
  • Our Services
    • Preventative Care
    • Urgent and Emergency Care
    • Dentistry Services
    • Diagnostic Testing
    • Exotic Pet Care
    • Prescription Diets
    • Orthopedic and Soft Tissue Surgery
    • Prescription Parasite Prevention
    • Routine and Medical Bathing
    • End of Life and Hospice Care
  • Small Mammals
  • New Clients
    • New Client Forms
    • Download Our PetDesk App
    • Pet Insurance Information
    • Client Education
    • ER and Specialty Hospital Referral Information
    • Payment Information
  • Social
  • Contact
    • After Hours Emergency Care
  • Home
  • Who We Are
    • Our Team
    • Client Vaccination Policy
    • Our Vision, Mission, and Core Values
  • Our Services
    • Preventative Care
    • Urgent and Emergency Care
    • Dentistry Services
    • Diagnostic Testing
    • Exotic Pet Care
    • Prescription Diets
    • Orthopedic and Soft Tissue Surgery
    • Prescription Parasite Prevention
    • Routine and Medical Bathing
    • End of Life and Hospice Care
  • Small Mammals
  • New Clients
    • New Client Forms
    • Download Our PetDesk App
    • Pet Insurance Information
    • Client Education
    • ER and Specialty Hospital Referral Information
    • Payment Information
  • Social
  • Contact
    • After Hours Emergency Care
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  • Test form

Test form

New Client Registration Form

Baker Bristol Pet Hospital – New Client Registration

Thank you for giving us the opportunity to care for you pet(s). Please fill out the following new client registration form.
Name(Required)
Address(Required)
MM slash DD slash YYYY
Your date of birth is required in order to prescribe certain medications for your pet. Please provide your birthdate.
Co-Owner's Name
Email(Required)
How did you become aware of our hospital?
Who were you referred by (so we can thank them!)
Do you already have an appointment scheduled?(Required)
Please note that we are unable to accommodate walk-in appointments in most cases.

Pet Information

Species(Required)

Sex(Required)
Is your pet current on vaccines?(Required)
Do you have an additional pet?
Species(Required)

Sex(Required)
Is your pet current on vaccines?(Required)
Are you able to bring a copy of your pet(s) medical and vaccination records?
Please provide the name and phone for your previous veterinary clinic so we may obtain your pet’s medical records.
Authorization(Required)
I hereby authorize the veterinarian to examine, prescribe for or treat my pet(s). I assume responsibility for all charges incurred in the care of my pets(s). I also understand that any additional charges will be paid at the time of release. I also understand that BBPH reserves the right to charge $68.00 for missed clinic and surgical appointments if not cancelled at least 24 hours in advance. We do not extend credit or bill for our services. If you have financial concerns, we will be glad to discuss our fees before your pet’s examination.
MM slash DD slash YYYY

Our goal is to be a loyal partner in your furred, feathered, or scaled family member’s health care.

  • (714) 546-0010
  • Fax: 714-546-1901
  • bakerbristolpethospital@gmail.com
  • 2976 Bristol Street, Costa Mesa, CA 92626
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Welcome to our pet care network, where decades of care and expertise come together. As a family-owned enterprise, we’ve built an ecosystem of trusted, state-of-the-art animal care services—all working in harmony. When you join us as a client, you become part of our extended family, with access to the full range of our coordinated, high-quality medical and dental care, boarding, and grooming. We’re honored to welcome you

We want people with disabilities to access us with greater ease and are striving to make this website ADA compliant. We hope you will like the experience.

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