North Oakville Animal Hospital

New Client Form

Welcome to North Oakville Animal Hospital
This form is for first time visitors with appointments that are already scheduled.

If you are looking to book an appointment, please reach out to us directly by calling 905-257-3700 or using our online appointment request form.

ABOUT YOU
FULL NAME*

First NameLast Name
EMAIL ADDRESS*
example@example.com
PHONE NUMBER*
Please enter a valid phone number.
ADDRESS*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
SECONDARY OWNER (IF APPLICABLE)

First NameLast Name
SECONDARY OWNER PHONE NUMBER (IF APPLICABLE)
Please enter a valid phone number.
A SECONDARY OWNER IS ALSO AUTHORIZED TO MAKE MEDICAL DECISIONS, AND ONCE ADDED TO FILE, THEY CANNOT BE REMOVED WITHOUT THEIR CONSENT*

Yes, I understandI do not wish to add a secondary owner

ABOUT YOUR PET
PET'S NAME*
YOUR PET'S SPECIES*
YOUR PET'S BREED*
YOUR PET'S SEX*
YOUR PET'S AGE
DATE OF BIRTH (IF KNOWN)

MonthDayYear
Date
PET COLOUR*
PLEASE ATTACH A PHOTO OF YOUR PET FOR OUR FILES

Cancelof
DO YOU HAVE PET INSURANCE FOR THIS PET?*

YESNO
INSURANCE COMPANY
POLICY #
HAS YOUR PET EVER BEEN SEEN BY ANOTHER VETERINARIAN? PLEASE PROVIDE US WITH THE NAME OF THE CLINIC AND IF THE RECORDS ARE UNDER YOUR INFORMATION SO THAT WE CAN REQUEST THEM. IF THEY ARE UNDER A BREEDER, PLEASE BRING THE RECORDS TO YOUR APPOINTMENT.
IF YOU WOULD LIKE TO ATTACH ANY MEDICAL RECORDS YOU HAVE FOR YOUR PET, PLEASE DO SO HERE

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MAY WE SHARE YOUR PET'S PHOTO ON SOCIAL MEDIA?

YesNo
DOES YOUR PET HAVE AN INSTAGRAM ACCOUNT?

New Client Form