New Tiny Vet Clinic (TVC) Registration

Important Information for Clients

This form is for financially disadvantaged pet owners who hold a valid Healthcare Card.

If your pet requires urgent veterinary care, please visit your local veterinarian rather than waiting for the next Tiny Vet Clinic. Any veterinarian can also submit an assistance application on your behalf.

Please note that the Tiny Vet Clinic does not perform surgical procedures, such as desexing or lump removals.

🚫 Important: To help our team manage appointments fairly, registrations submitted on the day of a clinic will not be accepted.

Clinics are scheduled to run on the first three Wednesdays of each month from 10am - 12pm, subject to volunteer vet availability. Please understand that on occasion, clinics may need to be cancelled if a vet is not available — this is outside of our control, but we will always do our best to keep you informed.

👉Please note: if you arrive after 11:30am, there’s a chance we may not be able to see your pet, even if you are registered.

All consultations at the Tiny Vet Clinic are free of charge. However, pet owners are required to contribute to the cost of medications, vaccinations, and microchipping, unless prior arrangements have been approved by our administration team.

Most importantly - we have moved - you can now find us next to the RSPCA ACT in Weston.

Date of registration

Do you have a Healthcare Card?*

YesNo

Please provide the last 4 digits of your Healthcare Card and the expiry date*

Name*

First NameLast Name

Phone Number*

Please enter a valid phone number.

Email address*

example@example.com

Address*

Street Address

Street Address Line 2

SuburbState / Province

Postal / Zip Code

Pet's Name*

Species*

CatDogOther (please include species under 'breed' below)

Sex*

MaleFemaleUnknown

Is the pet desexed?*

YesNoUnknown

Breed*

Age or Date of Birth of Pet*

Microchip number, or type unknown*

Weight (if known) approximate is fine.

Why would you like to bring your pet to the Tiny Vet Clinic? *

Has your veterinarian referred you to the Tiny Vet Clinic to have a specific condition rechecked or managed?*

YesNo

If you answered yes to the previous question, please provide details here. Please also provide details of any existing or previous health conditions. (For example: allergies, arthritis, or past surgeries) *

If your pet’s veterinarian has prescribed medication and you would like to collect a repeat supply from the Tiny Vet Clinic, please ask your vet to email your pet’s medical history to actpetcrisis@gmail.com - Without this documentation, we are not legally permitted to dispense medications.

I understand

Name of previous vet clinic *

How did you hear about the Tiny Vet Clinic?*

Social media helps us to promote and fundraise for the Tiny Vet Clinic. Do you consent to photos of your pet appearing on social media?*

Yes but pet only (no photos of me)No (no photos at all)Happy for photos of me and my pet to appear on social media

Which Wednesday would you like to attend the Tiny Vet Clinic (remember we only operate on the first 3 Wednesdays each month so only select one of these dates). 🚫 Important: To help our team manage appointments fairly, registrations submitted on the day of a clinic will not be accepted.*