About Us
Our Team
Services
Pet Care Services
Anesthesia & Patient Monitoring
Emergency Veterinary Services
Medical Services
Laser Surgery
Laser Therapy
Nutritional Counseling
Preventive Services
Surgical Services
Diagnostics
Wellness Programs
Dental Services
Euthanasia
Additional Services
Pet Health
Pet Insurance
Pet Food Alerts
Product Alerts
New Client Form
Contact Us
Online Store
Menu
About Us
Our Team
Services
Pet Care Services
Anesthesia & Patient Monitoring
Emergency Veterinary Services
Medical Services
Laser Surgery
Laser Therapy
Nutritional Counseling
Preventive Services
Surgical Services
Diagnostics
Wellness Programs
Dental Services
Euthanasia
Additional Services
Pet Health
Pet Insurance
Pet Food Alerts
Product Alerts
New Client Form
Contact Us
Online Store
Online Store
(604) 980-2222
New Client Registration Form
* Please use this form to request an appointment with us. While we strive to accommodate your preferred day and time, please note that your appointment is not fully booked until you receive a confirmation from us!
Owner's First Name
Owner's Last Name
Street Address
Address Line 2
City
State / Province / Region
Zip / Postal Code
Mobile Phone
Email
Confirm Email
Pet's Name
Species
Choose
Dog
Cat
Rabbit
Ferret
Bird
Reptile
Other
Breed (if known)
Date of Birth or Age (if known)
Special Identification (tattoo, microchip, etc.)
Sex
Choose
Neutered Male
Spayed Female
Male
Female
Unknown
Previous Veterinary Practice (if any)
Previous Veterinarian (if any)
Date of last vaccines (if known)
What vaccines were given at this time?
Is your pet on any medication or supplement?
Yes
No
If Yes, please list the medication or supplement
Do you have a Pet Insurance?
Yes
No
If Yes, Please specify the insurance provider name
What food does your pet eat?
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
Submit
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