New Client Application

New Client Application

Due to overwhelming demand, we are unable to accept all requests. You will receive an email as the submissions are processed. This may take some time please be patient. If your pet needs care more urgently, there are 2 emergency hospitals in the Greater Victoria area.
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Pet's Name
If you have more than one pet, please list them all
Pet's species and breed
as above, list breeds for all pets
Pet's Age
Where did you acquire your pet?

Other
If your pet was acquired from a rescue, please elaborate on if they were a locally sourced pet, or from a foreign country, and if so, which country they are from. This is important medically.
Has your pet ever exhibited aggressive behaviour?

Other
Is your pet crate or kennel trained?
Is your pet obedience trained?
Does your pet have any medical concerns?
If yes, please elaborate
Previous Veterinary Clinic
be specific, we will be requesting copies of the records.
By submitting this form I give permission for my pet's records to be released to the Thetis Heights Veterinary Clinic
I understand that filling out this form does not guarantee that Thetis Heights Veterinary clinic will be able to accept me as a new client. THVC reserves the right to screen new applicants and their pets to ensure a good Veterinary Client Patient Relationship.
I understand that non adherence to clinic protocols, abusive language or behavior towards staff, and/or patient aggression will result in termination of service at Thetis Heights Veterinary Clinic
Should be Empty: