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New Client Registration Form

If you have scheduled an appointment to meet one of our doctors, please fill out the below form so we can get to know more about you and your pet!

Please do not fill out this form without speaking to one of our receptionists first

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.