New Client Registration Form – Owen Sound Veterinary Clinic in Owen Sound, Ontario

Your name

Email

Your spouse’s name

Can we email you vaccine reminder/newsletter

Yes
No

Pet’s name

Species

Dog
Cat
Other

Date of Birth

Sex

Male
Neutered
Female
Spayed

Pet’s name

Species

Dog
Cat
Other

Date of Birth

Sex

Male
Neutered
Female
Spayed

Pet’s name

Species

Dog
Cat
Other

Date of Birth

Sex

Male
Neutered
Female
Spayed

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Apartment #

Home telephone #

Work telephone #

Do you have children?

What ages?

How did you become aware of our clinic?

In the event of an emergency where we are unable to reach you, is there someone we can call to make decisions regarding your pet’s care?

Name

Telephone #

Relationship of this person to you

Do any of your pets have medical conditions we should know about?

Does your pet show aggression or has he/she bitten or tried to bite anyone?

Name of your previous veterinarian or clinic

May we obtain these medical records?

Where did you get your pet (s) from?

At the Owen Sound Veterinary Clinic, we have over 100 years of combined experience in caring for pets! It is our goal to offer excellence in your pet’s care. Please let us know how we may improve our service to you. All fees are due at the time that services are rendered. We are able to accept cash, credit cards and Interac.