Urgent Cases New Client & Patient Information

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Please complete and return at least one day prior to your appointment.

Client Details

Your Name(Required)
Additional Contact Name
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Patient Details

PHOTO/STORY CONSENT: We occasionally take photos and/or video or blog about our patients. May we have your permission to feature your pet (including patient name and medical information such as diagnosis, treatment, etc) in places such as our website, Youtube, Facebook, Twitter, Blog and the like?(Required)
AUTHORIZATION & CONSENT: I, the undersigned, owner of admitted patient, hereby authorize Mountain View Veterinary Surgery, as well as the other services located with the Veterinary Specialty Center, to administer diagnostics and/or treatment as deemed necessary while in hospital custody. I understand that no guarantee or assurance has been made as to the results that may be obtained. Further, I acknowledge my urgent consultation fee and certify that all information on this has been completed accurately. My urgent consultation fee today is $175.00(Required)

Financial Policy for Mountain View Veterinary Surgery

Thank you for choosing Mountain View Veterinary Surgery for your pet's surgical needs. Our primary mission is to deliver the best and most comprehensive veterinary care available for your pet. An important part of the mission is making the cost of optimal care as easy and manageable for our clients as possible by offering several payment options.
Payment Policy Agreement and Treatment Authorization (must be signed prior to consultation) I agree and will comply with the above Payment Policy and assume all financial responsibility for charges incurred to the patient. I consent to release medical information and authorize direct payment to Mountain View Veterinary Surgery and the other services located in the Veterinary Specialty Center. By signing below, you agree to the aforementioned terms of payment:(Required)
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Contact Us




We are located in the Veterinary Specialty Center

5520 North Nevada Ave Suite 110
Colorado Springs, CO 80918


Mon - Fri: 8 AM - 5 PM
Sat & Sun: Closed

Have a question?

Email is not our fastest form of communication. If your pet is a patient with us and you have a medical question, please call us at 719-272-4081 so that we can get back to you as soon as possible