New Client Registration Form

Home » Forms » New Client Registration Form

New Client Registration Form

Thank you for considering our hospital as your pet’s provider of veterinary services. We are dedicated to maintaining the health of your pet and look forward to many future years together.

Please complete this form as fully as possible prior to your first appointment which will help expedite the registration process and give us valuable insight in providing optimal care for your pet(s). The required sections have a red * asterisk.

  • Owner's Name

  • Co-owner's Name & Contact #

  • Pet Information

  • Date Format: MM slash DD slash YYYY


Contact us today!

Location Hours
Monday8:00am – 6:00pm
Tuesday8:00am – 6:00pm
Wednesday8:00am – 6:00pm
Thursday8:00am – 6:00pm
Friday8:00am – 6:00pm
Saturday9:00am – 12:00pm
SundayClosed

Emergency

After Hours Emergency Clinic:

Burlington Veterinary Emergency and Referral Hospital
775 Woodview Road
Burlington, ON
905-637-8111