Hello, and welcome to Ann Arbor Animal Hospital! The COVID-19 epidemic has created a demand for an all-digital admission form.

If you’re a new client, please fill out the form below and click/tap “Submit” at the bottom.

e.g. 2150 W. Liberty
e.g. 48103
e.g (734) 662-4474
(This is required by the DEA)
e.g. Michigan, Ohio, etc.
(This is required by the DEA)
If you don't know, give your best guess)
If you don't know, give your best guess)
e.g. brown, black and white, etc.
If you have more than one pet, please enter their information here in a similar format (e.g. "Rex, dog, Chocolate Lab, born 4/15, age 5, brown color, neutered male")
Please provide your previous veterinarian's name and phone number so we can have your pet's medical records faxed to us (i.e. vaccine history, heartworm testing, etc.)
If desired, you may provide the name and phone number of one other person (trusted friend, family member, etc.) you authorize to order treatment or obtain patient information.
Please authorize treatment by entering your name and today's date in the box above. You are authorizing the release of your pet's medical records and will assume responsibility for all fees incurred. Note: All professional fees are due at the time services are rendered. Monies owed for services not paid at the time services are rendered are subject to billing fees and interest.