Cornell University Veterinary Specialists 24 Hour Emergency and Critical Care

Patient Pre-Registration

In an emergency, minutes count. While we hope that your pet never requires emergency care, we know that a little advance planning can go a long way when time is of the essence.

The Patient Pre-Registration Program at Cornell University Veterinary Specialists was established to provide pet owners with peace of mind, and to facilitate treatment for their pets should they require after-hours emergency care. Pre-Registration also saves you the additional stress of finding us and completing paperwork during an already stressful event.

Pre-Registration Form

For the pdf version of our Pre-Registration Form, please click here.

Preregistration Group Code (if known):


Personal and Contact Information

Required Field*








Spouse/Partner:


How do your prefer to be contacted?


Please list preferred contact method if "other" is selected:



Would you be interested in receiving information about CUVS events and educational workshops?


If we are unable to reach you, who may we contact in case of emergency?


Do you authorize this person to make urgent treatment decisions if you are unreachable?


Please list people in addition to your primary care veterinarian to whom we may release information:



Primary Care Veterinarian/s





By listing your primary care veterinarian above, you are authorizing our hospital to release patient information to the hospital or veterinarian(s) listed.

Pet Information
Species:*     



Sex:*     


Current or past health conditions we should know about:

Any known allergies:

Send us a photo of your pet:


Please send jpg files only

 

Pet Information
Species:     



Sex:     


Current or past health conditions we should know about:

Any known allergies:

Send us a photo of your pet:


Please send jpg files only

 

Pet Information
Species:     



Sex:     


Current or past health conditions we should know about:

Any known allergies:

Send us a photo of your pet:


Please send jpg files only

 



Information

Cornell University Veterinary Specialists
880 Canal Street
Stamford, CT 06902
Phone 203.595.2777   Fax 203.595.2778

Directions

Map and directions

Emergency Hours

24 Hours a day, 7 days a week

Emergency & Critical Care Information

Specialty Hours

Monday - Friday

9am to 6pm

Weekend hours available by special appointment