Elm Creek Animal Hospital

(763) 427-5150

327 Dean Ave E, Champlin, MN 55316

Monday - Friday: 8:00 am-6:00 pm
Saturday: 8:00 am-12:00 pm
Sunday: Closed

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  • Home
  • About
    • Our Team
    • Blog
  • Clients
    • Appointments
    • Prescription Refill Request
    • Online Forms
  • Services
    • Veterinary Services
    • Canine Preventative Care
    • Feline Preventative Care
    • Dentistry
    • Digital X-Ray
    • Ultrasonography
    • Therapeutic Laser
    • Emergency Care
  • Resources
    • Payment Options
    • Pet Insurance
  • Online Payments
  • Contact
    • Employment Opportunities
    • Careers

New Client Form

Step 1 of 2

50%
  • First Pet

  • NameBreedMicrochip#Date of BirthColorSexSpayed or Neutered
  • Second Pet

  • NameBreedMicrochip#Date of BirthColorSexSpayed or Neutered
  • Third Pet

  • NameBreedMicrochip#Date of BirthColorSexSpayed or Neutered
  • I/we hereby authorize the veterinarians to examine, prescribe for, or treat my pets (s). I/we assume full responsibility for all charges incurred in the care of this/these animal(s). I/we also understand that these charges will be paid in full at the time of release and that a deposit may be required for certain surgical treatments or other procedures.

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