Client Registration Form

Address

Email address*

Contact Phone Number

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Where did you hear about us?

About your Pet

Your Pet's Gender

Short Summary of your Pet´s Symptoms:

Your primary care /GP vet's Details*

I consent to being contacted by (select all that apply):

I give PinPoint Veterinary Services Ltd permission to contact my primary care vet/ GP vet with updates and treatment regarding my pet/s.*

I give PinPoint Veterinary Services Ltd permission to hold data regarding client and patient records in accordance with GDPR.*

I understand that PinPoint Veterinary Services Ltd is a holistic referral only practice that provides limited services including acupuncture, chiropractic, and herbal medicine for animals.*

I understand that my primary care / GP veterinary practice (named above) will continue to provide all out of hours and emergency, diagnostic and general treatment.*

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