• (831) 707-4050
  • |
  • Full service dog and cat hospital and rehabilitation in Scotts Valley. Equine ambulatory service to Santa Cruz County

Coast Veterinary Services

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  • Home
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    • Our Story
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  • Our Veterinary Team
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    • Dogs and Cat Services
    • Equine Services
    • Urgent Care/Emergencies
    • Low Stress Handeling
  • Rehabilitation
    • Acupuncture
    • Hydrotherapy
    • Laser Therapy
    • Physical Therapy
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Integrated Medicine History

  • Tell Us About You!

  • Tell us about your pet!

  • Name:Breed:Year of Birth, or Age:Gender:Spayed/ Neutered:Microchipped:Color:Insured: 

  • Energy And Well-Being

    Please Select All That Apply:

  • Mobility

  • Pain

  • If you answered “Yes,” please complete the following regarding your pet’s pain:

  • Nutrition

  • Digestion

  • Urinary

  • Skin

  • Respiration/ Breathing

  • Emergency Contacts

    In the case of a medical emergency, if I cannot be reached, I herby give the below person(s) permission to authorize Nautilus Pet Rehabilitation and/or Coast Veterinary to provide any medical treatment deemed necessary for my pet and permission for the doctor to treat to their best clinical judgment. I will be responsible for charges incurred in that treatment.

  • Name:Phone Number:Relationship to Owner: 

  • Consent and Social Media Sharing

    Thanks for entrusting us with your four legged friends care. We consider it an honor and strive to provide the highest quality care available. Be sure to "like" us on Facebook or follow us on Instagram!
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