Blue Sparrow Holistic Veterinary House Calls New Client and Patient Intake Form
Form Instructions
This form must be completed by the owner/guardian of the pet(s). This form has three sections: Owner/Guardian Information, Pet Information, and Important Blue Sparrow Information and Policies. This form is designed to accept up to six pets. If you have more than one pet to enter, please enter one pet's information at a time. After submitting information for one pet, you'll be prompted to add additional pets if needed. Please be as thorough and complete as possible. If you submit this form after-hours, over a weekend, holiday closure or day we are not available, please allow 3 business days for a response upon our reopening. Thank you for your patience and understanding!

Disclaimer: Practice Limitations & Scheduling Policies
As a small, San Francisco-based, housecall-only practice, we are unable to offer on-call, same-day or emergency services. All appointments require a minimum of one business day's advance notice and are dependent on appointment availability. If your pet is experiencing a medical emergency, please contact your nearest veterinary emergency hospital immediately.

As our practice is based in San Francisco, appointments in our service areas outside of the city require a significant scheduling lead time, typically several days to several weeks in advance. Due to this constraint, we are unable to offer adequate palliative and hospice care for patients residing outside of San Francisco. Palliative and hospice patients often require care within 1-2 days, which our scheduling model for areas outside of San Francisco cannot accommodate. Furthermore, we understand the difficulty of scheduling end-of-life care far in advance. Our required lead time for humane euthanasia appointments outside San Francisco may not be suitable for the often urgent nature of this need.

At this time, we are unable to see fractious, aggressive, or defensive pets, as well as pets that are extremely fearful or difficult to handle.

Our Service Area
San Francisco, Sausalito, Berkeley, Emeryville, Oakland, Piedmont, Alameda, South San Francisco, Brisbane, San Bruno, Broadmoor, Daly City, and Colma. We have suspended service for Pacifica for the foreseeable future.

Our Business Hours
Veterinary Appointment Services: Mon, Tue, Thu 10:00 am - 6:00 pm; Fri 10:00 am - 5:00 pm
Administrative Services: Mon, Tue, Thu, Fri 8:00 am - 6:00 pm; Wed 9:00 am - 6:00 pm
Weekends & Holidays: CLOSED

2026 Holiday Closures (Subject to Change)
May 25: Memorial Day
June 19: Juneteenth
July 3: Independence Day (Observed)
September 7: Labor Day
October 12: Indigenous Peoples Day
November 3 Opening at Noon: Election Day
November 11: Veterans Day
November 26 - 27: Thanksgiving
December 23 - January 3, 2027: Winter Holidays

Providing Your Email
By providing your email address, you consent to receive emails regarding our services, your pet's health, medical reminders and news from Blue Sparrow Holistic Veterinary House Calls. Please see our Privacy Policy and Terms & Conditions for more information.
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Email *
How did you hear about Blue Sparrow Holistic Veterinary House Calls? *
Primary Owner's/Guardian's First and Last Name *
Primary Owner's/Guardian's Phone Number(s) *
Primary Owner's/Guardian's Consent to Receive SMS Text Messages from Blue Sparrow Holistic Veterinary House Calls at the Provided Phone Number.
By providing a telephone number and submitting the form you are consenting to be contacted by SMS text message from Blue Sparrow Holistic Veterinary House Calls. All of our SMS text messages are conversational with our staff members regarding your pet's health, appointment scheduling and the services we provide. Message frequency varies. Message and data rates may apply. Reply STOP to opt-out of future messaging. Reply HELP to get support. Please refer to our Privacy Policy and Terms & Conditions for more information.
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What is the best way to reach you? *
Other Owner's/Guardian's First and Last Name
Please list the first and last name of any other person that share ownership of your pet(s) and/or can make decisions for your pet(s).
Other Owner's/Guardian's Relation
Describe the other owner/guardian's relation to you and your pet. Example: Spouse, Partner, Parent, Sibling, Roommate, Pet Sitter, Dog Walker, etc.
Other Owner's/Guardian's Email Address(es)
By providing your email address, you consent to receive emails regarding our services, your pet's health, medical reminders and news from Blue Sparrow Holistic Veterinary House Calls. Please see our Privacy Policy and Terms & Conditions for more information.
Other Owner's/Guardian's Phone Number(s)
Other Owner's/Guardian's Consent to Receive SMS Text Messages from Blue Sparrow Holistic Veterinary House Calls at the Provided Phone Number
By providing a telephone number and submitting the form you are consenting to be contacted by SMS text message from Blue Sparrow Holistic Veterinary House Calls. All of our SMS text messages are conversational with our staff members regarding your pet's health, appointment scheduling and the services we provide. Message frequency varies. Message and data rates may apply. Reply STOP to opt-out of future messaging. Reply HELP to get support. Please refer to our Privacy Policy and Terms & Conditions for more information.
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Appointment Location - Street Address, City, State, Zip Code *
This is the address where house call appointments will be performed. (Please note, our service area includes: San Francisco, Sausalito, Berkeley, Emeryville, Oakland, Piedmont, Alameda, South San Francisco, Brisbane, San Bruno, Broadmoor, Daly City, and Colma. We have suspended service for Pacifica for the foreseeable future.)
Home Address - Street Address, City, State, Zip Code
Your home address, if different from the appointment location above.
Please describe the parking in your neighborhood along with any special parking instructions. *
Please include if you are able to provide parking accommodations.
When is street cleaning on your side of the street and the opposite side of your street? Are there any other parking restrictions on your street? (ie. No stopping/parking during certain hours.) *
Are there any special arrival instructions including any COVID safety protocols we should follow?
Examples: "Doorbell does not work, please call;" "Doorbell frightens pet, please knock/call;" or "Entrance around back;" etc.

We are no longer routinely practicing COVID protocols during appointments, but will gladly accommodate individual requests to practice COVID safety protocols during appointments. If you would like our staff to practice any COVID safety protocols (masking, socials distancing, abstaining for touching doorknobs and surfaces, etc), please include those specific instructions below. (Our staff may temporarily practice COVID certain safety protocols during periods when there are a high number of COVID cases. So you may sometimes see our staff wearing masks during visits, using hand sanitizer, or requesting to wash their hands upon arrival.)
What is your and your pet's availability like during our appointments hours, or do you have any preferred days that work best for you and your pet? *
Our Appointment Hours
Mondays, Tuesdays, Thursdays: 10:30 am - 6:00 pm
Fridays: 10:30 am - 5:00 pm
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