New Patient Registration Form

New Patient Registration Form

Thank you for giving Centennial Animal Hospital the opportunity to care for your
pet(s). To ensure the best care possible, please fill out this form completely.

Please bring and give any medical records/vaccine records to the receptionists to make copies.

We treat your pets like the valued family members they are.


6870 Centennial Blvd.
Colorado Springs, CO 80919
Click here for directions.


Mon – Fri: 8:00 am – 6:00 pm
Sat: 8:00 am – 12:00 pm
Sun: Closed


Phone: 719-528-1693
Fax: 719-528-1694

Ready to come see us?

Request an appointment online!