Clone of New Tiny Vet Clinic (TVC) Registration

Tiny Vet Clinic (TVC) Registration
Important Information for Clients

This form is for 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 submit an financial assistance application on your behalf.

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

🚫 Important: To help our team manage appointments fairly, any 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 there is extreme weather or a vet is not available — this is outside of our control, but we will always do our best to keep you informed.

👉We operate on a triage system; urgent cases will always be seen first. If you are attending for a vaccination, there may be times when it needs to be postponed until a later clinic.

👉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.

You can find us at 12 Kirkpatrick St, Weston next to RSPCA ACT.
Date of registration

DayMonthYear
HEALTHCARE CARD DETAILS

You must have a current healthcare Card to be eligible for this service
Last 4 digits of Healthcare Card
Healthcare Card expiry date

DayMonthYear
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState

Post Code
Phone Number
Please enter a valid phone number.Format: 0000 000 000.
Email address
please use none@none.com if no email
Pet's photo

You can upload a photo of your pet if you like (optional) — this also helps us keep a record
Cancelof
Pet's Name
Species
Species (other - please specify)
Sex
Is the pet desexed?
IMPORTANT INFORMATION From 1 July 2026, the Tiny Vet Clinic Will Not provide services for pets that are not desexed, unless: The pet is too young to be desexed (6 months or younger) or there is a medical reason for not desexing and your regular vet has provided you a written exemption.

If you fall into either of these categories, please choose that option and ensure the No box is not also checked. If you do not uncheck the No box when choosing Too young or Exempt, you will not be able to submit the form.

If you select Exempt, you will have to upload proof of exemption otherwise you will not be able to submit this form
If you check No, you cannot register
Upload file for exemption

Proof of exemption from your regular vet must be uploaded to progress application
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Breed
If unsure type Mixed
Pet's colour
Age or Date of Birth of Pet
Microchip number
If unknown or not chipped, please type that
Weight (if known)
Approximate is fine
Has THIS pet been to the Tiny Vet Clinic before?
Have you been to the Tiny Vet Clinic with any other animals?
1. Other pet 1
Only 3 pets per household can be registered at the Tiny Vet Clinic as per our Pet Policy (see website FAQs).
2. Other pet 2
Only 3 pets per household can be registered at the Tiny Vet Clinic as per our Pet Policy (see website FAQs).
Please tell us the medical reason or veterinary concern for bringing your pet to the Tiny Vet Clinic.
Did your regular veterinarian refer you to the Tiny Vet Clinic to have a specific condition rechecked or managed?
Please provide details of any existing or previous health conditions. (For example: allergies, arthritis, or past surgeries)
If no previous conditions or concerns, please type N/A
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.
Name of regular vet clinic
The Tiny Vet Clinic is not a replacement for your regular veterinary care
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?
Which Wednesday would you like to attend the Tiny Vet Clinic?

DayMonthYear
🚫 Important: To help our team manage appointments fairly, registrations submitted on the day of a clinic will not be accepted.
Don't forget to check your email for confirmation

Please also check your spam and junk folders for confirmation information
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Tiny Vet Clinic (TVC) Registration

Important Information for Clients

HEALTHCARE CARD DETAILS

Don't forget to check your email for confirmation