New Patient Forms

If you are new to the Bloomfield Animal Hospital family start your journey here by filling out our new online form. We at Bloomfield, want you to have the best service from the moment you decide to join us. To register as a new patient you only have to fill this simple online form with your basic details. Upon completion, your details will be emailed to us directly and you can authorize it with your signature when you visit us.

New Patient Registration Form

Your first visit to Bloomfield Animal Hospital

Your initial appointment is very important. It allows us to get off to a great start, establishing good rapport with you and a favorable relationship with your pet. We will be happy to show you around the practice, as you meet our staff and get to know the doctor. You have the chance to ask questions, and we gather background information about your pet and his or her medical history. To save time, please be sure to print and complete the New Patient Form and bring it with you on your first visit.

Request an Appointment

Please complete the following form to request an appointment online. Note that appointment availability may vary depending on the details of your request. A member of our staff will call you to confirm the appointment date and time.

You may also contact us at (562) 383-7788 to schedule an appointment by telephone, if you prefer.

Prescription Refill Form

We make it easy to be sure your pet never runs out of necessary medications. Click here to complete the online form to request refills.