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New Clients Always Welcome to our hospital!

Choosing a new vet clinic is an important decision. We hope to make the process as simple as possible. First, we would like to get some basic information about you and your pet(s). Please fill out the attached form and we will call you to set up a new client appointment. These appointments are 30 minutes (this is longer than our typical 20min appointment) in order to give you enough time to have any questions that you might have answered.

Of course, if you have any questions about our staff or service, do not hesitate to call!

Have you made an appointment?
How did you hear about us?
Please fillout the following information to help us serve you better
Title
 First Name
 Last Name
 Senior?
()
Address
 City
 Province
 PostalCode
Home Number
Work Number
Cell Number
 e-mail
The more ways to contact you the better in case of emergency!
Emergency contact
Phone #1
 Phone #2
  
Previous animal hospital Veterinarian
PET #1 Name
 Breed
 Colour
Age
 Birth Date
  Date of last vaccine:

PET #2 Name
 Breed
 Colour
Age
 Birth Date
  Date of last vaccine:

PET #3 Name
 Breed
 Colour
Age
 Birth Date
  Date of last vaccine:

I UNDERSTAND THAT ALL ACCOUNTS MUST BE PAID IN FULL BEFORE MY PET CAN BE DISCHARGED  YES 
Payment options: Visa Mastercard Debit Cash Personal cheques are not accepted