New Client Form

CLIENT INFORMATION

We send all vaccine and appointment reminders by email/text.

 

PET INFORMATION

Tell us about your pet(s) *

 
Name
 		 Breed Colour DOB/Age Sex Last Vaccinations Clinic
 1. 
 2. 
 3. 

CONSENT FOR COMMUNICATION & MEDIA USE

In accordance with Canadian Anti-Spam Legislation (CASL), we require your written consent to send you any commercial electronic messages. Without your consent, you will not receive any emails, including estimates, invoices, or messages from our staff or veterinarians.

 

We also love featuring our patients on social media. Consent for use of images and videos can be withdrawn at any time; however, content shared during active consent may remain published but will not be reused.

 

Please indicate your preferences below: *

  Email
  SMS/Text
  Phone Calls
  Newsletter
  Use of Pictures/Videos

Please feel free to ask our staff to provide you with a written estimate for today’s visit if you desire. ALL PROFESSIONAL FEES ARE DUE AT THE TIME SERVICES ARE RENDERED. We take the following payment methods: MasterCard, Visa, Debit or Direct Billing to Trupanion insurance. WE DO NOT ACCEPT CHEQUES OR AMERICAN EXPRESS. By providing your signature below you agree that as the rightful owner of the pet(s) listed you will pay in full all fees at the time of services rendered.

 

Today
Security Question *