Change my Information

How to Change Your Enrollment Information

Use this form to request a change un your enrollment information.

"*" indicates required fields

Your Name*

Your Email*

Please enter the information you need to change:*

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PLEASE NOTE: For help changing your vet, your Membership Program, or to add or remove a pet, you must call UPC and speak to us directly.

We help pet owners ensure long and healthy lives for their pets by providing an affordable and accessible pet healthcare membership program.

Refer an Employer

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Your Employer's Business Name*

Your Employer's City*

Your Employer's State*

Your Employer's Business Phone*

Your Name*

Your Email*

Comments

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I understand that UPC may use my name when contacting my employer and inform them of my desire for our company to join the UPC pet healthcare membership program. (UPC retains final authority for contracting with employers who wish to join our membership program.)

Note: This form does not serve as an enrollment form.

Questions? Contact us at: AZ: 602-266-5303 CA: 949-916-7374. Email: info@UnitedPetCare.com

Refer a Veterinarian

"*" indicates required fields

Name of Veterinarian*

Name of Facility*

Facility's City*

Facility's State*

Your Name*

Your Email*

Comments

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I understand that UPC may use my name when contacting my veterinarian and inform him/her of my desire for them to join the UPC provider network. (UPC retains final authority for approving inclusions in the provider network.)

Note: This form does not serve as an enrollment form.

Questions? Contact us at: AZ: 602-266-5303 CA: 949-916-7374. Email: info@UnitedPetCare.com