New Client Form


PLEASE TELL US ABOUT YOU:

First Name (required)
Last Name (required)
Phone #1 (required)
Email (required)
Address
City
Postal Code
Phone #2:
Phone #3:
Emergency No:

PLEASE TELL US ABOUT YOUR PET/S:

Pet Name (1) (required)
Breed (1) (required)
Sex (required)
Spay/Neut (required)
Birthdate (required)
Previous Vaccination
Colour
Pet Name (2)
Breed (2)
Pet Name (3)
Breed (3)

PLEASE TELL US HOW YOU HEARD OF US (Select all that apply):



Hospital SignWord of MouthOnline ReviewsOnline Search for Convenient LocationSocial MediaOtherFriend/Family Member
Whom should we thank for the referral:

I acknowledge that I am the owner or a representative of the owner, and that I am 18 years of age or older. I further acknowledge that the above information is true and correct.

Please Note: All fees to be paid at time services are performed; we accept Interac, Cash, Visa, and MasterCard.

We request at least 24hrs notice for cancellations or a cancellation fee of $50.00 will be applied to your account.

Lastly, do you wish to be added to our newsletter? It has professional tips for your loved ones along with promotions. Just check the box before you hit submit: Yes! Please send me your newsletter