• Chino Hills Pet Resort New Client Form

    Welcome to CHPR, please fill out this form and return to the Customer Service Desk

  • If we are not your primary care facility please complete the following information so we may keep your pet's doctor informed

  • Chino Hills Animal Hospital would like you to be aware that all fees are due when services are rendered. If your pet is hospitalized prepayment (100%) of the estimated amount is due upon hospitalization. We accept Cash, Checks Debit, Credit Cards, CareCredit, and Trupanion Insurance direct pay. THERE IS A $25 FEE FOR ALL RETURNED CHECKS. Chino Hills Animal Hospital may at times take photos of your pet or use your pets medical information for teaching purposes, veterinary literature or hospital promotions. I authorize the use/release of photos and or medical information for such purposes. Client confidentiality (names and personal information) will be maintained. I acknowledge that this is my pet or I am the responsible person for this pet and I have the right to authorize and make treatment decisions. I understand that no guarantees can be made as to the results obtained from medical treatment. I am over 18 years of age and I assume financial responsibilities for all charges on this account. I further understand that if it is necessary to send my account to collection I will be responsible for any collection fees, legal and/or court costs.