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Search for:
Home
About Us
Our Staff
Our Hospital
Veterinary Services
New Clients
Become a Client
Take a tour
FAQ’s
Contact
604.560.8344
Become a Client
Become a Client
Phil Andersen
2017-05-11T20:04:53-04:00
Please fill out the form to become a new client with All Creatures Animal Hospital.
You may also download and fill out our
Client Information Form
, or come visit
Our Office
to register.
Your Information
Client Name
*
First
Last
Spouse Name
First
Last
Address
*
Street Address
City
ZIP / Postal Code
Email
*
Home Phone
Cell Phone
Preferred Method of Contact
Your Pet's Information
Pet's Name
*
Breed
*
Date of Birth
Month
Day
Year
If you are unsure of the day, an estimate is okay.
Sex
*
Male
Female
Not Sure Yet
Has Your Pet been Spayed or Neutered?
*
Yes
No
Not Sure
Date of Surgery?
Month
Day
Year
Medical History and Information
Pet's Health Issues
Current Medications
Please Bring all Current Medications and Therapies With You.
Any Homeopathy?
Yes
No
Not Sure
Any Allergies?
Yes
No
Not Sure
Is Your Pet Nervous at the Vet?
Yes
No
We wish to get a complete medical history by contacting previous vets. Will you allow this?
Yes
No
Previous Veterinarians (if applicable)
Name
Phone Number
Other
We maintain confidentiality of file information, but we do enjoy sharing photos of our pets. Sometimes the people associated may be in the photo also. Would you allow us to share photos?
Yes
No
Do multiple people have legal guardianship of this pet?
Yes
No
List all other people that can make legal decisions regarding this pet's care.
Name
Phone Number
All fields with an * are required.
FOR THE SAFETY OF ALL PETS, PLEASE HAVE YOUR PET RESTRAINED – IN A SECURE CARRIER OR ON A SECURE LEASH.
Contact us
Contact
