Routine Care Form

We look forward to helping your pets enjoy every adventure!

Complete your Routine Care Form Below!

Please note: We do not take American Express.

Chester Valley Veterinary Hospital is glad to be here to help you and your family pets enjoy every adventure. Filling out this form prior to an appointment will help us to understand your pets needs and aid us in appropriately scheduling your pet.


Upon completion of your form we will contact you generally within 24-72 hours (dependent on demand) to set an appointment time or to add you to our stand by list.


We do request that you submit or bring in proof of Rabies vaccination, any relevant records, and a detailed list of all medications, supplements, and vitamins.


Please note: You are requesting a wellness visit. If your pet is found to meet the criteria of a patient in need of urgent or sick care, your pet's appointment may need to be rescheduled so we can best accommodate your pet's needs. Please stay in touch with us if your pet starts showing signs of illness so that we can schedule plenty of time to address all your pet’s needs!

Medical History

See if your pet qualifies for "Sick/urgent care" walk ins or "Wellness" walk ins.

Rabies Questions

Health Certificate

Current medications and supplements


If your pet is aggressive or reactive to people and/or other animals please keep them in your vehicle until you have checked in and your technician is ready to bring you and your pet directly into an exam room.

Click or drag files to this area to upload. You can upload up to 10 files.