217-279-4500

Patient Center

Welcome to Paws at Home!

If you are interested primarily in a Home Euthanasia, now or in the future, skip to the Euthanasia Consent form to provide all the client and patient registration information needed for scheduling a time to say Goodbye to your pet at home.

For other services, new clients can get started here:

Step 1: New clients should fill out the New Client Registration Form below.

Step 2: Once complete, you will have an opportunity to fill out the New Pet Registration form.

If you are an existing client, you can add a pet or access other forms below.

(Your privacy is important to us. The embedded form is secured using the same encryption used by major banks.)

Payment
Paws at Home requires payment at the time of services.
We accept cash and personal checks for no extra fees.

"*" indicates required fields

New Client Registration

Please take a few minutes to give us your contact details with this convenient online form.
You will have an opportunity to add your pet's information after completing this form.
Name*
Co-Owner Name
Address*
What's the best phone number for you if we need to coordinate scheduling or get back with you about your pet?
Primary Phone Type*
Your email is used to send you confirmation of your registration and is not shared with outside entities.
This field is for validation purposes and should be left unchanged.

Existing Clients

Add a pet to your client record

We use your name & primary email address to link them to your account.

Add A Pet

Pet Medical History Form

We use this to prepare for your next appointment.

Add Pet History

 

Authorization for Euthanasia Form

Use this form to submit your consent.

Fill Form