Indian Prairie Animal Hospital provides our patient forms online so that you can fill them out in the comfort of your own home and at your convenience. Download the necessary form(s) to complete and bring with you to your appointment.

Please Note: You must download the form to your computer before completing in order for it to save your responses.

If you would like to download the PDF, and do not already have AdobeReader® installed on your computer, click HERE to download.

adobe reader

New Patient Form
Canine Dermatology History Form
Doggie Daycare Evaluation Policy:

The Doggie Daycare Questionnaire Form is to be filled out and returned for the Daycare Manager to review. Once reviewed, we will contact the owner to schedule the evaluation. The cost of the evaluation is $23. If your dog passes the daycare assessment and stays to participate in that same day’s group play, the regular daycare fee of $23 is waived. If your dog does not meet the requirements for group play, the owner will be notified as soon as possible and will still be responsible to pay the $23 evaluation charge- that is not refunded.

Online Form Submission

Your Name (required)

Your Email (required)

Your Phone

1.) Complete necessary form(s)

2.) Save form(s) to computer/device

3.) Click "Choose File" below & attach your completed form

4.) Click "Send"