New Client Form

Which practice would you like to register with?

Location

If you would like to attach any medical records you have for your pet, please do so here.

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ABOUT YOU

Full Name

Preferred pronoun

Contact Email Address

Phone Number

Address*

Unit Number (if applicable)

City

Province*

Postal Code*

Do you have a preferred language of communication?

In addition to English, we can provide services and/or communication in: Cantonese, Mandarin, French, Japanese, Italian, and Tagalog.

Name of secondary owner (if applicable)

Secondary owner contact number (if applicable)

A secondary owner is also authorized to make medical decisions, and once added to file, they cannot be removed without their consent*

Yes, I understand
I do not wish to add a secondary owner

ABOUT YOUR PET

Pet's Name *

Your pet's species

Your pet's breed

Reproductive Status*

Your pet's age

Date of Birth (if known)

Pet Colour*

Please attach a photo of your pet for our files

Has your pet ever been seen by another veterinarian? If so please provide us with the name of the clinic and if the records are under your information so that we can request them. If they are under a breeder, please bring the records to your appointment.*

If you would like to attach any medical records you have for your pet, please do so here

Additional Medical Records

May we share your pet's photo on social media?*

Yes
No

Does your pet have an Instagram account?

Would you like access to our client exclusive MyVetStore? We provide free shipping on orders over $100 and 5% off on recurring orders. Creating an account is completely free!*

Yes
No

ABOUT YOUR APPOINTMENT

Appointment Date (if not booked please reach out to book an appointment)

Appointment Time (if not booked please reach out to book an appointment)

Primary Reason for Appointment*

What type of food does your pet eat and how much? (Please include the brand name and variety if possible)*

Please elaborate on any of the points above, or add any information you'd like to make the veterinarian aware of

Do you have any other pets at home?*

Yes
No

Is there anything else you'd like to share with us?

I confirm that I am 18 years of age or older, and the legal guardian of the animal described above.*

Yes
No

Note: Verbal or physical aggression or abusive behaviour of any sort toward staff members will result in immediate termination of care at this hospital*

Yes, I understand

How did you hear about us?

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I HAVE READ AND UNDERSTOOD THE PRIVACY POLICY

New Client Form

Which practice would you like to register with?

ABOUT YOU

ABOUT YOUR PET

ABOUT YOUR APPOINTMENT

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