Bijou Animal Hospital
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    • New Client
    • Current Client with a New Pet Form

    New Client Form

    Owner Information
    First name, Last Name
    First name, Last name
    Street Address, Apartment or Unit #, City, State, and Zip
    Please check as many as apply.

    Pet Information
    Please Choose One
    For birth date please use MM/DD/YYYY format, and if you list age please specify if it is in years, months or days.
    Example: Kidney disease, heart conditions, arthritis, diabetes, etc.
    Max file size: 20MB
    You can upload a single file. If you have several documents or images you can make a "zip file" to upload or you can email them to us at bijouahreception@gmail.com
    Max file size: 20MB
    Profile pictures must clearly show the pet's face, and should not have any other pets in the picture. These pictures will only be used as a profile picture in the practice software & their petly profile.
    If you have additional pets you wish to add to your account here please use the New Pet Form for each additional one. 

    Financial Policy

    All outpatient fees are due at the time the service is preformed. Surgery and hospital fees are payable before the patient is released from the hospital. Bijou Animal Hospital accepts Cash, Checks, Mastercard, VISA, Discover, American Express, Apple Pay, Android Pay and Carecredit*. 
    * Carecredit No Interest promotional offers are only available on purchases greater than $200.
Submit
Call us at 719-471-4457
bijouahreception@gmail.com

Hours  

             Monday through Friday -  7:30am-6:00pm
             Saturday-                              8:00am-3:00pm
             Sunday-                                Closed

Jobs Openings and Application
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  • Home
  • About
  • Services
  • Contact
  • Meet the doctors
  • Meet the staff
  • Forms
    • New Client
    • Current Client with a New Pet Form