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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 client care specialists will contact you to schedule an appointment in 24 - 72 hours. Please note that we are currently scheduling appointments for NEW clients 4 - 6 weeks in advance.  If you do not show up for this appointment and if this appointment was not canceled within 12 hours of the scheduled time, we will terminate your request for services. If your pet needs to be seen sooner, please contact your current veterinarian. 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 let us know what you what like to schedule an appointment for and for any other relevant information (about yourself, your family or pet) that can allow us to better serve you and your pet:

Pet's Name:*

Breed (if known):

Colour:

Date of Birth or Age:*

Microchip #:

Previous vaccines:*

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

If yes then please state the details:

Are there any medical conditions we should be aware of?

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?

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

Your message was sent successfully. Thanks.

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