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Thank You

New Client Registration Form

Thank you for considering Snelgrove Veterinary Services for your pet's veterinary needs.

Please fill in the form below and one of our receptionists will contact you to schedule an appointment. Please note that NEW clients will be required to prepay for their first office visit. If you do not show up for this appointment and if this appointment was not canceled within 12 hours of the scheduled time, this payment will be considered a cancellation fee.

Be sure to make note in the relevant information section what the appointment is regarding. Thank you and have a great day!

Pet Parent's First and Last name:*

Address:*

City:*

Province:

Postal Code:*

Home phone:

Cell phone:*

Work phone:

Email:

Spouse/Partner:*

Pet's Name:*

Spouse/Partner Phone:*

Please use this area to give us any other relevant information (about yourself, your family or pet) that can allow us to better serve you and your pet:

Pet's Name:*

Dog

Cat

Breed (if known):

Colour:

Date of Birth or Age:*

Microchip #:

Male

Neutered

Female

Spayed

Previous vaccines:*

Is there another veterinary hospital for us to request records from?

Yes

If yes then please state the details:

Are there any medical conditions we should be aware of?

Yes

If yes then please state the details:

What type of food are you currently feeding?

Is your pet currently on any medications or supplements?

Does your pet have any allergies or have had any reactions to vaccines or medications?

Does your pet have medical insurance?

Yes

If so, please provide us with the company and policy number:

GENERAL INFORMATION

Snelgrove Veterinary Services
11526 Hurontario St
Brampton, ON

L7A 1E6

Phone: 905-846-3316

Email: contact@snelgrovevet.com

Fax: 1-855-351-8216

Hours

Monday – Friday: 8:00 AM — 7:00 PM

Please note: We close Monday - Friday from 1-2pm for lunch

Saturday & Sunday: Closed

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