Check In

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Welcome to Coastal Cat Clinic

Hi there, please fill out and submit this form to complete your check in.

12Questions

1
Reason for Visit* This field is required.Please let us know why you are here today. You can choose multiple options
Check in for appointment with a vet
Check in for appointment with a technician
Check out from vet/tech appointment
Check in for surgery/procedure/drop off appointment (not curbside)
Surgery/procedure discharge
Pick up food, medication or retail items.
2
If you are here for an appointment with the doctor have you filled out the exam history form?* This field is required.
YESNO
3
If you have not already filled out the exam history form we will text the link to you. Please TEXT 650-359-5770 when you have completed the form.
4
If you are here for surgery/patient admission, have you filled out the admission and consent form?* This field is required.
YESNO
5
If you have not completed an admission and consent form the technician will bring one out to you. Please TEXT us at 650-359-5770 when that is complete.
6
Your name* This field is required.Who is here now?
First Name
Last Name
7
Cat's name* This field is required.Which cat are you here with/for? Can enter multiple cats
8
Best Phone Number* This field is required.Please enter a phone number that you are currently reachable at
Area Code
Phone Number
9
Can we text you at that phone number?* This field is required.This would be to communicate while you are here, especially in the case of delays
YESNO
10
Where can we find you?* This field is required.Please note where you are parked
Front door (glass) on Danmann
Side door 1 on San Pedro (1st door from corner)
Side door 2 on San Pedro (2nd door from corner)
Side door 3 on San Pedro (3rd door from corner)
On Danmann, across the street from the front door
On San Pedro, across the street *before* Danmann
On San Pedro, across the street from the side of the building
In driveway
11
What is your vehicle/car's description?* This field is required.Include make, model, and color
12
If you are parked in the Linda Mar Vet client lot off Seville, we will need you to move to the lot off Linda Mar Blvd. You will know you are in the wrong lot if the spaces are numbered. Please move to the correct lot before submitting this form.
13
How will you be paying today?* This field is required.Please note that we require payment at the time of service for appointments
Credit Card
Check
Cash (please note we can not provide change)
CareCredit via app (Note that we can not run CareCredit cards at this time)
Already pre-paid over the phone
Should be Empty:

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