Once you've called to let us know you're on the way to our Boulder location, please complete our Patient Admission Form below. 

Call Boulder

Boulder Emergency Pet Clinic

We are limiting the number of people in our lobby due to the confined space and COVID-19. Please fill out this form and call (303) 440-7722 when you arrive and a staff member will let you know when to come to the door. Thank you for your patience and for allowing us to account for your safety, as well as ours.
Please alert us if you or anyone in your household is sick or has been in close contact with anyone exhibiting symptoms of COVID-19. If so, we will take the necessary precautions to keep our staff safe while treating your pet.
If your pet is in respiratory distress, please call (303) 440-7722 and let the staff know immediately.

Pet Guardian Information

Pet Information

Presenting Problems or Symptoms

Payment

A deposit or payment is required for all hospitalized patients.
We are unable to extend credit or to bill you later. If there is a problem regarding payment, please advise the staff immediately.

Authorization & Content for Treatment

I am the guardian or the agent for the guardian, of the above described animal and have the authority to execute this consent.
I authorize the Boulder Emergency Pet Clinic to treat the above described animal and understand that this treatment may include the use of appropriate anesthetics, medications, and/or surgery and I realize that results cannot be guaranteed.
I accept full financial responsibility for all fees to be paid in full at the time of release of the animal.
Any animal not picked up within the time required by Sec 12-64-115, C.R.S. 1973 as amended shall be deemed abandoned by the owner and will be disposed of
according the above statute.