A person in a white shirt is holding a calico cat

New Client Registration Form

Welcome to La Cumbre Animal Hospital! We are glad you are here. Completing this form before your first visit helps our Santa Barbara team get to know you and your pet ahead of time.

Please share your contact details and your pet’s history so we are ready to provide care from the moment you arrive.
Once you submit, our team will follow up to confirm your first appointment.

Questions before you get started? Call us at (805) 967-0121 or Contact Us — we are happy to help.

We use phone numbers and email addresses for communications purposes such as medical reminders, confirmation requests, hospital notifications and general communications. You may receive calls, texts and emails from us.
Please note: We will need your authorization for anyone not listed on account to bring a pet in.

Pet Information - PLEASE INCLUDE ALL PETS IN HOUSEHOLD

Financial Policy & Payment Options:

Thank you for choosing La Cumbre Animal Hospital. Our mission is to provide the best and most comprehensive veterinary care for your pet, and part of that mission is making the cost of care as manageable as possible.

Payment Policy

Payment in full is due at the time of service, at the end of your pet’s exam or at discharge. If someone other than the owner brings your pet in, payment arrangements must be made before services are provided. We do not offer in-house payment plans.

Accepted Payment Methods

  • Cash
  • Debit cards
  • Personal checks*
  • Visa, Mastercard, Discover, and American Express
*La Cumbre Animal Hospital charges a $30 fee for returned checks.

Financing Options

  • CareCredit: A healthcare credit card that lets you begin treatment today and pay over time. We participate in the 6-month no-interest option on purchases over $200 when minimum monthly payments are made and the balance is paid in full before the promotional period ends. Apply at carecredit.com.
  • Scratch Pay: A simple payment plan with no hidden fees and no deferred interest. Checking your options does not affect your credit score. Apply at scratchpay.com.

Pet Insurance

Clients are responsible for filing claims directly with their insurance provider. We are happy to provide any records or documentation your insurer requires. Prescription Medication and Diets along with refills require regular veterinary evaluations/exams by the prescribing veterinarian in accordance with California’s Veterinary Client Patient Relationship (VCPR) laws.

Appointment Confirmation Policy:

Confirmation is required for all in-room scheduled appointments by 4:00pm the day before a scheduled appointment. If confirmation is not received by 4:00pm, the appointment will be canceled.

Confirmation is required for all General Anesthetic procedures at least 72 hours prior to the procedure. Unconfirmed procedures incur a $100 cancellation fee and the procedure will be canceled.

Insurance Policy:

Clients are responsible for filing insurance claims directly with their insurance. We are happy to provide your insurance carrier directly with any documentation they require.

Recording Policy:

To best care for your pet, please note that medical dictation software and cameras may be in use. Audio and visual recordings are used only for medical records and quality of care.