New Client Registration Form

New Client form

Please fill out this form prior to your first appointment
  • Please include name and phone number
  • Please indicate the following: Name; Breed; Birthdate/Age; Color; Sex (Male/Female); Spay/Neutered? Yes/No; Tattoo/Microchip? Yes/No; If so, please provide Tattoo and Microchip numbers
  • Please indicate the following: Name; Breed; Birthdate/Age; Color; Sex (Male/Female); Spay/Neutered? Yes/No; Tattoo/Microchip? Yes/No; If so, please provide Tattoo and Microchip numbers
  • Please indicate the following: Name; Breed; Birthdate/Age; Color; Sex (Male/Female); Spay/Neutered? Yes/No; Tattoo/Microchip? Yes/No; If so, please provide Tattoo and Microchip numbers
  • Please indicate if your file at the other hospital is under your name or a different name (Parent, spouse, sibling etc.)
    Please select one option for allowing permission or not allowing permission for Fraser Heights Animal Hospital to post photographs of your pet while visiting in the hospital.
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Contact Us

  15585-104 Ave.
  Surrey, BC
  V3R 1N9

  604-588-4161