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+1 (604) 852-3030
glennmountain3030@gmail.com
Business Hours: 8:00 AM - 8:00 PM Monday - Saturday
9:00 AM - 5:00 PM Sunday
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About Us
Meet Our Team
Services
Pet Care Services
Medical Services
Surgical Services
Urgent Care
Pet Diagnostics
Dental Care
Wellness Program
Nutrition Counselling
End-of-Life Care
Medical Grooming
Pet Resources
Abbotsford Dog Licence Information
ASPCA Pet Poison Helpline
Pet Insurance
Pet Travel
Pet Food Alert
Product Alert
Contact Us
New Client Registration
Book an Appointment
Home
About Us
Meet Our Team
Services
Pet Care Services
Medical Services
Surgical Services
Urgent Care
Pet Diagnostics
Dental Care
Wellness Program
Nutrition Counselling
End-of-Life Care
Medical Grooming
Pet Resources
Abbotsford Dog Licence Information
ASPCA Pet Poison Helpline
Pet Insurance
Pet Travel
Pet Food Alert
Product Alert
Contact Us
New Client Registration
Book an Appointment
+1 (604) 852-3030
New Client Registration
Owner's Name:
Co-Owner/Spouse/Relative's Name:
Address:
City:
Postal Code:
Home Phone:
Cell Phone:
Co-owner phone
Email:
Previous Veterinary Hospital
Does your pet have any known allergies?
Do you have pet insurance?
Yes
No
Insurance Company
Policy/ Customer #
#1 Pet's Name
Species
Cat
Dog
Other
Breed
Colour
Sex
Female
Male
Spay OR Neuter
Yes
No
Date Of Birth
Vaccines up to date?
Yes
No
General health ?
#2 Pet's Name
Species
Cat
Dog
Other
Breed
Colour
Sex
Female
Male
Spay OR Neuter
Yes
No
Date Of Birth
Vaccines up to date?
Yes
No
General health ?
#3 Pet's Name
Species
Cat
Dog
Other
Breed
Colour
Sex
Female
Male
Spay OR Neuter
Yes
No
Date Of Birth
Vaccines up to date?
Yes
No
General health ?
I hereby acknowledge and agree to the terms and conditions set forth. By signing below, I confirm my acceptance and understanding of these terms.
A DEPOSIT MAY BE REQUIRED, AND FINAL BILLS ARE UPON RELEASE OF THE PATIENT. NO BILLING OR PAYMENTS PLANS.
Date
Signature Of Owner
Submit
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