Welcome to Spay Illinois

We look forward to assisting you in caring for your pet.
In order to provide the very best care for your pet, please take your time to fill out the entire form below.
Thank you! We cannot service your pet without all information filled out.

Owner registration

Would you like to receive our Newsletter?

How did you learn about our clinic?

Please check this box if you are a LINK Cardholder

Pet health history

Canine or Feline

I would like to donate to Spay Illinois $


I hereby authorize SPAY ILLINOIS and it's employees to examine, prescribe for, and/or treat the pet described above. I assume responsibility for all charges incurred in the care of this animal. I also understand that these charges will be paid for upon release of the pet. Only Cash, Credit or Debit. Please note that personal checks are NOT accepted. By signing this form, I also grant Spay Illinois permission to use any images or videos taken during my pets/my visit to Spay Illinois Pet Well Clinics.

Your browser does not support the signature

Click submit and you hereby give consent to sign this document electronically.

Sending data