Lincoln Land
Animal Clinic, Ltd

Dr. Joseph Koch    Dr. Colleen Koch   Dr. Jennifer Banks

You can assist us to expedite your check in by submitting the appropriate form from the list below.  All forms are in pdf format so they are fillable and may be submitted electronically.  

If you have the full version of Adobe Acrobat, simply download the appropriate form and fill.  If you have the Adobe Acrobat Reader only, you will not be able to complete the pdf version. 

Alternatively, you may download the forms as Word documents.

After your form is completed, you may submit it to llanimalclinic@yahoo.com.

Forms may also be handwritten and submitted in-person at the time of your appointment.  For handwritten behavior forms, please submit by fax, mail, or scan as the doctor will need the information prior to your appointment.

Thank you for your cooperation in letting us assist you.


File NameDescription / Comment
Application for EmploymentIf you are interested in working with us to help pets, please complete the employment application. When we are actively hiring, this is the first place we look!
Application for Employment Word
Behavior Analysis FormPlease download form and return to the office at least 48 hours prior to you appointment. This will allow the doctor ample time to review your pet's history.
Behavior Analysis Form Word
Behavior- Aggression QuestionnairePlease complete this form in addition to the Behavior Analysis if your pet shows signs of aggression.
Behavior- Aggression Questionnaire Word
Behavior- Housetraining QuestionnairePlease complete this form in addition to the Behavior Analysis form if your pet urinates or defecates inappropriately.
Behavior- Housetraining Questionnaire Word
Behavior- Posture DescriptionsWhen filling out the behavior forms, please feel free to consult this list of posture descriptions.
Behavior- Posture Descriptions Word
Behavior- Separation Anxiety QuestionnairePlease complete this form in addition to the Behavior Analysis if your pet shows signs of anxiety.
Behavior- Separation Anxiety Questionnaire Word
Consent for Services or Surgery Complete this form and return prior to your pet's procedure (surgery, dental, x-rays, bloodwork, day admission) and check in will be a breeze- all you will have to do is sign your name the morning of the procedure.
Consent for Services or Surgery Word
Day Admittance QuestionnairePlease fill out this form in addition to the consent form if you are going to be leaving your pet with us for an examination or treatment. The details of this questionnaire will help us diagnose and treat your pet.
Day Admittance Questionnaire Word
New Client InformationPlease fill out the new client information form if you will be visiting us for the first time.
New Client Information Word

We are now offering
Laser Surgery
Dental Radiographs
and
Behavioral Counseling

Private training for problem behaviors in dogs, cats, horses and other species

Puppy Classes

Cat Chats


Karen Pryor Academy
Certified Training Partner





Lincoln Land Animal Clinic, Ltd.
1150 Tendick Street
Jacksonville, IL 62650
217-245-9508

Dr Joseph Koch   

Dr Colleen Koch   

Dr Jennifer Banks


Hours
M-F 7:30am- 6 pm
Saturday 8 am- 1pm