Enrollment

Home → Provider Enrollment Form

To begin your enrollment in ePetHealth, please complete all fields below and click Submit. Those marked with "*" are required.

Create New Provider ID (must be 8 characters) *	Check availability	Patterson Account *	Acct #
Practice Name *		Doctor Name *	Practice Type *
VetSource Home Delivery*		Acct #
Address *		City *	State *
Zip *		Phone *	County *
Email *		Website	Software Management System *
		Submit Reset