New Client Form

This form is for first time visitors with appointments that are already scheduled.

If you are looking to book an appointment, please reach out to us directly by calling 905-257-3700 or using our online appointment request form.

Full Name *

Email Address *

Address *

City *

Province *

Postal Code *

Phone Number *

Secondary Owner Full Name (if applicable)

Secondary Owner Phone Number (if applicable)

A secondary owner is also authorized to make medical decisions, and once added to the file, they cannot be removed without their consent *

Yes, I understand
I do not wish to add a secondary owner

ABOUT YOUR PET

Pet's Name *

Your pet's species *

Your pet's breed *

Your pet's sex *

Your pet's age *

Date of birth (if known)

Pet colour *

Do you have pet insurance for this pet? *

Yes
No

Please attach a photo of your pet for our files

Has your pet ever been seen by another veterinarian? Please provide us with the name of the clinic and if the records are under your information so that we can request them. If they are under a breeder, please bring the records to your appointment.

If you would like to attach any medical records you have for your pet, please do so here:

New Client Form

ABOUT YOU

ABOUT YOUR PET

ABOUT YOUR APPOINTMENT

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