New Client / New Patient Form


Thank you for giving Veterinary Healing & Advanced Imaging the opportunity to care for your pet. Please complete the New Client/New Patient Form.

Day-Time Phone Evening Phone Mobile Phone

Co-owner's Name & Contact #

Pet Information

Female Male
Yes No
Yes No
Yes No

Veterinary Healing & Advanced Imaging, leading animal referral center in the Bay Area specializing in CT Scans & Imaging, MRIs, Laser Therapy, Hyperbaric Oxygen Therapy & Platelet Rich Plasma Therapy.

  • 4807 Clayton Rd
    Concord Ca 94521
  • (925) 265.8385
Pets Best Pet Health Insurance for dogs and cats.