Lanark Leeds & Grenville Spay Neuter Clinic
Surgical Booking Form
Please be kind, we need time to book your appointment. If you haven't heard from us within 48 business hours please review your junk/spam folder and look for DaySmart Vet, it's our software. Then give us a quick call if you haven't received an appt and you DID send a deposit. Please note, we are currently booking late May for feline neuters, late June for all other surgeries. Forms are not processed without a deposit.
*
Yes
Have you previously registered a pet at the clinic
*
Yes
No
Owner Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
CELL NUMBER
*
Please enter a valid phone number.
Pet Information (one form per animal)
*
Male Cat
Female Cat
Male Dog
Female Dog
Pet Name
*
Pet Breed
*
Pet Colour
*
Pet Age
*
Pet Weight (lbs.) (DOGS ONLY)
*
Regular Veterinary Clinic/or a note to us
Would you like us to share your records with your regular veterinarian?
*
Yes
No
No regular veterinarian
Would you like a microchip, e-collar or bodysuit at the time of surgery?
Microchip ($50)
E-collar( $17)
Bodysuit (male dogs and female dogs &cats/price varies depending on size )
Rabies vaccine ($45)
Anticipated timeline (based on availability): Please note, we have a fair amount of movement and you can request to be on the waitlist for an earlier appointment.
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within 60 days
61-90 days
90 + days
For male dogs and cats only - can you see and feel 2 testicles? (Lift the tail and look for 2 fuzzy marbles)
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Yes
No (retained)
I understand a $50 non refundable deposit is required when I book and if a deposit does not accompany my form, my booking will be NOT be processed. Deposits are sent to payspay2021@gmail.com and MUST have your name and phone number in the message section. I do understand that my appointment can be moved and my deposit follows that appointment with 48 hours notice.
*
Ok
I understand that if my phone number above, is not with my payment I run the risk of not having my payment credited to my account and my booking is delayed. I also understand that if I have multiple last names, the name on the form and the banking has to be the same, or a note made in comments.
*
Ok
I have sent my deposit to payspay2021@gmail.com
*
Yes
No
Submit Form
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