About Us
Our Team
Services
Pet Care Services
Anesthesia and Patient Monitoring
Emergency Veterinary Services
Diagnostic
Surgeries
Dental Services
Medical Services
Nutrition Counseling
Wellness Programs
Additional Services
Online Forms
Make an Appointment
New Client registration
Onboarding Form
Pet Health
Pet Insurance
Pet Food Recall
Product Recall
Contact Us
(604) 743 1878
Menu
About Us
Our Team
Services
Pet Care Services
Anesthesia and Patient Monitoring
Emergency Veterinary Services
Diagnostic
Surgeries
Dental Services
Medical Services
Nutrition Counseling
Wellness Programs
Additional Services
Online Forms
Make an Appointment
New Client registration
Onboarding Form
Pet Health
Pet Insurance
Pet Food Recall
Product Recall
Contact Us
(604) 743 1878
(604) 743 1878
Lets Get On Board
*Thank you for allowing us the opportunity to care for your pet. In order to become better acquainted please provide us with the following information.
Owner's Name
Address
City
Postal Code
Telephone (Home)
Phone
Email
Secondary Contact - Name
Secondary Contact - Phone
Pet's Name
Is your pet Microchipped (tattooed)?
Yes
No
ID Number
Your pet is:
Canine
Feline
Other
Birthday or Age
Sex
Male
Female
Is Spayed/Neutered
Spayed
Neutered
None
Breed
Color
Date of Last Vaccination
Last Deworming
Previous Vet/Clinic
Important Medical History/Conditions
Do you have pet insurance?
Yes
No
If yes, which company
Policy Number
How did you hear about us?
Please Select
Google
Friend
Facebook
Others
Others, please specify
I hereby acknowledge that McCallum Centre Animal Hospital does not bill fees. Payment is expected at time service is rendered. We gladly accept Visa/Mastercard, Debit, Cash and E-Transfer.
I hereby acknowledge that McCallum Centre Animal Hospital does not bill fees. Payment is expected at time service is rendered. We gladly accept Visa/Mastercard, Debit, Cash and E-Transfer.
Signature (Full Name)
Date
Submit >
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