Legacy Animal Hospital

Phone: (623) 505-3100

Mon-Fri: 8:00am-6:00pm

Serving: Goodyear, AZ & Surrounding Communities
We Accept Most Major Credit Cards
Credit Cards

Purina Pro Plan

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    • Meet Our Staff
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  • Services
    • Grooming
    • Exams and Consultations
    • Nutritional Counseling
    • Surgery
    • Vaccinations
    • Microchipping
    • Preventative Medicine
    • Diagnostics
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New Client Registration

  • Thank you for giving us the opportunity to care for your pet(s). So that we may become better acquainted, please complete the following form.       If you try to submit the form and find that it does not work, please be sure that ALL required* areas are complete. Thank you!
  • All Fees Are Due At the Time Services Are Rendered

  • NameBreedDate of BirthColorMicrochip#SexSpayed or Neutered
  • RABIESLEPTOSPIROSISDAP PARVOBORDETELLAFECAL (STOOL SAMPLE)HEARTWORM TEST/PREVENTION 
    Add a new row Remove this row
  • RABIESFELVFVRCPLEUKEMIA/FIV TESTFECAL (STOOL SAMPLE) 
    Add a new row Remove this row
  • Consent: You will be asked to sign a health plan confirming authorization of treatment after a tentative diagnosis. The details of treatment, the risks of treatment, and/or the risk of not treating will be explained to you.
  • Authorization

    By signing this form, you certify that you are the owner of the animals listed above. I hereby authorize services to be provided for my pet as required for maintaining proper health. I also understand that all fees are and payable when services are rendered, and that I am responsible for any charges incurred due to returned checks or through collection efforts. I authorize the above mentioned hospital/clinic to send all records or recorded statements on my behalf.
  • If you try to submit the form and find that it does not work, please be sure that ALL required* areas are complete. Thank you!
  • No-shows, late shows, and cancellations inconvenience those individuals who need access to veterinary care. Please read our cancellation policy on the tab above. Thank you.

  • This field is for validation purposes and should be left unchanged.

Legacy Animal Hospital

Phone: (623) 505-3100 Address: Goodyear, AZ & Surrounding Communities

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We Accept Most Major Credit Cards
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    • Nutritional Counseling
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    • Microchipping
    • Preventative Medicine
    • Diagnostics
    • Pharmacy
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