Southeastern Ontario Spay Neuter Clinic
Surgical Booking Form
Have you been to our clinic before?
*
Yes
No
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Pet Information (one form per animal)
*
Male Cat
Female Cat
Male Dog
Female Dog
Male Rabbit
Pet Name
*
Pet Breed
*
Pet Colour
*
Pet Age
*
Pet Weight (lbs.)
*
Vaccine Status
*
Up to date
Not up to date
Regular Veterinarian and Clinic
Would you like us to share your records with your regular veterinarian?
*
Yes
No
No regular veterinarian
Would you like your pet microchipped during surgery ($40 plus tax)?
*
Yes
No
Would you like to order a cone or bodysuit to protect the surgical site ($17-42 plus tax)?
*
Cone (males and females, cat and dog sizes available)
Bodysuit (females only, cat and dog sizes available)
No
Anticipated timeline, based on availability:
*
within 60 days
61-90 days
90+ days
For male dogs and cats only - can you see and feel 2 testicles? (Lift the tail and look for 2 fuzzy marbles)
*
No
Yes
N/A (I have a female animal)
Please indicate which days of the week you would prefer.
*
Monday
Tuesday
Wednesday
Thursday
It doesn't matter
I have e-transferred my $50 deposit to trentonspay@gmail.com. The deposit allows us to process this form faster. Please indicate your name and phone number on your e-transfer. You will receive a confirmation email when we receive your booking form and your deposit.
*
Yes
No
I understand that it takes up to 48 business hours (excluding weekends) to confirm a booking. If you do not receive an email confirmation within 48 business hours please call the clinic.
*
OK
Submit Form
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