Skip to main content
Hit enter to search or ESC to close
Home
About Us
Team
New Clients
New Client Registration Form
Services
Anaesthesia and Patient Monitoring
Medical Services
Pet Dental Services
Preventive Services
Surgical Services
Wellness and Vaccination Programs
Pet Health
Pet Health Checker
Pet Health Library
Pet Food Recalls
Pet Insurance
Product Recalls
How-To Videos
News
Contact
Request an Appointment
Web Store
facebook
search
Home
About Us
Team
New Clients
New Client Registration Form
Services
Anaesthesia and Patient Monitoring
Medical Services
Pet Dental Services
Preventive Services
Surgical Services
Wellness and Vaccination Programs
Pet Health
Pet Health Checker
Pet Health Library
Pet Food Recalls
Pet Insurance
Product Recalls
How-To Videos
News
Contact
Request an Appointment
Web Store
New Client Registration Form
Thank you for considering our hospital as your pet’s provider of veterinary services. We are dedicated to maintaining the health of your pet and look forward to many future years together.
Please complete this form as fully as possible prior to your first appointment which will help expedite the registration process and give us valuable insight in providing optimal care for your pet(s). The required sections have a red * asterisk.
Owner's Name
Name
*
First
Last
Co-owner's Name & Contact #
Name
First
Last
Phone
Address
Address
*
Street Address
Address Line 2
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Primary Phone
*
Email
*
Enter Email
Confirm Email
How did you find out about our practice?
Clinic Location
Personal Referral
Google
Bing
Social Media (Facebook/Instagram)
Other
If Other, please specify:
If Personal Referral, is there someone we can thank for this referral?
Please use this area to give us any other relevant information about yourself or your family
Pet Information
Pet's Name
*
Species
*
Dog
Cat
Rabbit
Ferret
Bird
Reptile
Breed (if known)
Color
Date of Birth or Age (if known)
Sex
Neutered Male
Spayed Female
Male
Female
Unknown
Previous Veterinary Practice (if any)
Previous Veterinarian (if any)
does your pet have allergies or drug reactions?
Yes
No
If Yes, please list the allergies and reactions
Are there any current or past medical conditions of which we should be aware?
Yes
No
If Yes, please comment on the condition(s) and indicate if they are current or past conditions
Please use the following box to give us any other relevant information about your pet
Δ
