FixMyPet Animal Registration

FixMyPet Animal Registration

All Information MUST be Filled Out. If applying for more than one animal, each animal needs their OWN individual application submitted. Applications not filled out correctly will not be eligible to secure a spot in this program.
🛑 DO NOT CALL CLINIC TO BOOK 🛑

ALL APPLICATIONS & BOOKINGS ARE DONE THROUGH THE FUR WARRIORS FIX MY PET PROGRAM ONLY!

Once applications are received, and a booking spot becomes available; Hespeler Animal Hospital will contact you directly. If spots book up quickly, you will automatically be placed on a waiting list.

To remove your application off the waiting list...

Please email fixmypet@furwarriors.com
Name of Pet Owner*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
Type Of Animal*

CanineFeline
Name of Pet*
Breed *
Age of Pet*
Weight of pet (estimate)*
Is your pet experiencing any of the following:*

DiarrheaItchinessVomitingLimpingWeaknessBleedingOpen woundsNone of the above
Is your pet up to date with rabies vaccination?*

YesNo
Please let us know the name of clinic & phone number of your current vet. Type none if your animal has never seen a vet before. *
Does your pet have ANY pre existing medical conditions?*

YesNo
If yes please explain:
Has your pet had any other previous surgeries?*

YesNo
If yes please explain:
Any behavioural issues or aggression with the Pet? Animals with aggression can still be eligible. Owners will need to be present for sedation before procedure & cannot leave until the animal is fully sedated. Please indicate any behavioural issues so we can accommodate your pet for the procedure appropriately. If none please type N/A*
List Any medications that the pet is currently receiving - type None if this does not apply*
Has your pet ever had any reactions to any medications or vaccinations that you are aware of?*

YesNo
• FOR MALE ANIMALS ONLY • Is your male cryptorchid?*

YesNoMy animal is female this doesn’t apply
• FOR FEMALE ANIMALS ONLY • date of last heat cycle. If they haven’t gone into heat yet or your animal is male please put N/A *
• FOR FEMALE ANIMALS • has your animal had any litters?*

YesNoDoes not apply my animal is male
If yes, how many litters has your animal had?
• Cryptorchid neuters are NOT eligible for this promotion.

• For female canine spays: If your dog has a matured uterus then a mature spay fee will be aplied, as the spay procedure takes longer in time.

• Proof of vaccinations needs to be provided at time of booking with hospital. If your animal is not up to date with their Rabies vaccination, a rabies vaccination is mandatory during appointment and is an extra $30.

• Any animals over 5+ years old will need IV fluids during surgery, & a mandatory pre-surgical blood panel before procedure is started. This is an extra costs & not included in promotion.

• Recovery Cone & pain meds are included with the procedure. The cone provided must be taken & used. The clinic waives any & all liability if you choose to not use it, or use other items such as recovery suit or blow up cones instead.

• Your pet's health is number one priority. The Vetrinarian has the right to refuse surgery on any patient they feel is not suitably healthy for the procedure. If your animal has any medical issues or concerns, please discusss with us prior to booking your appointment.
Do you understand & agree to terms listed above???*

Yes I understand & agreeNo I do not agree
Spay & Neuter Costs

• Feline neuter $135 + tax

• Feline spay $210 + tax

• Canine Neuter $325 + tax

• Canine Spay $375 + tax

* Recovery Cone & Pain meds are included with surgery at no extra costs.*

Extra service add ons NOT included with the promotion.

Rabies Vaccination $30 + tax

Microchip $40 + tax

Pre-Surgical Blood Panel $95.50

IV Fluids in surgery $149.50
I certify that all information made by me on this application is true and correct.

Clear
Should be Empty:

FixMyPet Animal Registration

🛑 DO NOT CALL CLINIC TO BOOK 🛑

ALL APPLICATIONS & BOOKINGS ARE DONE THROUGH THE FUR WARRIORS FIX MY PET PROGRAM ONLY!

Once applications are received, and a booking spot becomes available; Hespeler Animal Hospital will contact you directly. If spots book up quickly, you will automatically be placed on a waiting list.

To remove your application off the waiting list...

Please email fixmypet@furwarriors.com