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
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CONSENT FOR COMMUNICATION & MEDIA USE

The Canadian Anti-Spam Legislation (“CASL”) prohibits the sending of any electronic messages that are commercial in nature unless the sender has received the recipients' express consent prior to sending the message. Our practice therefore requires your written consent to send you any electronic messages. While most of our communications are related to your pet’s health, some may contain commercial activities such as promotions, special events, or fundraising activities. Please note that if you do not consent, you will not receive ANY communications from our practice on any matter.
 

We also like to feature patients on our social media account(s), whether it be a success story, an interesting visit or the animal is just too cute not to. For us to responsibly take these videos and/or pictures we need to be granted your permission to use them on our social media account(s). Please keep in mind that your consent can be revoked at any time, but images and videos used during active consent will remain, though no further use of the images or videos will take place. A removal request can be made and will be reviewed, depending on the video and/or image we will try and remove it as requested but, in some cases, removal will not be possible, so please bear that in mind when consenting.

 

Please indicate what forms of communication are allowed: *

 

Note that phone calls must be allowed as that will always be the first contact method used in an emergency. Also, if you opt-out of email, you will not receive invoices, estimates, or reminders.

A. Service Communications
(These are used for appointment reminders, updates about your pet’s care, or billing-related matters.)
 

Print
Email
SMS/Text
Phone Calls


B. Marketing & Promotional Communications
(These are optional and include educational materials, newsletters, promotions, and social media use.)
 

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
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