Wellness Plan Enrollment Exam

Enrolling in a New Pet Wellness Plan is Easy!

1. Fill out and submit the form below.
2. A CPH representative will call you to schedule a FREE Wellness Exam for  your pet.

We look forward to seeing you soon!

Schedule a Free Wellness Plan Exam & Consultation

Please tell us about yourself and your pet, so our client care team member can answer your questions about Wellness Plan and help you choose the appropriate plan for your pet.

Your Information

First Name (required)*

Last Name (required) *

Phone Number (required) *

Your Email (required) *

Are you an existing CPH client?
YesNo

Your Pet's Information

What kind of pet do you have?
DogCat

How old is your pet?
Under 6 monthsOver 6 monthsI don't know

I understand that wellness plan enrollment requires approval from the CPH veterinarian in charge after examination of my pet. I also understand that plan enrollment can be denied or appropriate plan options could be recommended, and enrollment may take up to 5 business days from the time I submit this form.