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Our Hospital
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Resources
Pharmacy
Contact

We don’t mean to needle you, but…
Did you know that we offer acupuncture? Acupuncture is a non-invasive and natural way to stimulate chemicals in your pet’s brain that relieve pain, stress, and inflammation. Give us a call for more information or to book a session today!

Emergency Treatment Authorization

Owner Name*
First Last
Phone Number*
Address*
Street Address Address Line 2 City State ZIP Code
Departure Date*
MM slash DD slash YYYY
Return Date*
MM slash DD slash YYYY
Contact Phone Number while you are away:*
Person taking care of pet during absence
First Last
Phone
Address
Street Address Address Line 2 City State ZIP Code
Please select one of the following statements:*
- The agent above is responsible for my pet(s) while I am away and will be able to make all decisions regarding veterinary care.
- The agent stated above is responsible for my pet(s) while I am away. For decisions regarding veterinary care, I wish to be contacted. If I cannot be reached, I appoint the following person to act on my behalf:
Name*
First Last
Phone*
FINANCES:
I authorize the use of my card number to be used only while I am away (see the dates above), by the above stated veterinary hospital to pay for any medical expenses that my pet(s), listed on page 2, may require. I am aware that my credit card number will be kept on file but will be stored in a private and confidential manner. Please check one of the following:*
- I authorize any amount necessary for the treatment of my pet at stated hospital.
- I authorize a maximum of $______________ to be used towards my pets’ care at stated hospital.
Maximum amount:*
Owner Signature:*
Date*
MM slash DD slash YYYY
Description of pet 1
Name*
Birth date*
MM slash DD slash YYYY
Sex*
- Female
- Spayed female
- Male
- Neutered male
Breed*
Medical History (Don’t forget to mention any medications your pet may be currently taking):*
Add another pet?*
- Yes
- No
Description of pet 2
Name*
Birth date*
MM slash DD slash YYYY
Sex*
- Female
- Spayed female
- Male
- Neutered male
Breed*
Medical History (Don’t forget to mention any medications your pet may be currently taking):*
Add a third pet?*
- Yes
- No
Description of pet 3
Name*
Birth date*
MM slash DD slash YYYY
Sex*
- Female
- Spayed female
- Male
- Neutered male
Breed*
Medical History (Don’t forget to mention any medications your pet may be currently taking):*
Add a fourth pet?*
- Yes
- No
Description of pet 4
Name*
Birth date*
MM slash DD slash YYYY
Sex*
- Female
- Spayed female
- Male
- Neutered male
Breed*
Medical History (Don’t forget to mention any medications your pet may be currently taking):*
Phone
This field is for validation purposes and should be left unchanged.

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Appointment

Call us! 415-383-7700

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Mountain

Contact Us

25 North Knoll Road
Mill Valley , CA 94941

(415) 383-7700
info@altotiburon.com

Contact Us Make an Appointment

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Our first appointment starts at 8:30am and our last appointment is at 5:30pm. We do offer same day appointments when available, but please call beforehand.

Monday - Friday
8:00am - 6:00pm
Saturday
9:00am - 5:00pm

CLOSED SUNDAY

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