New Client Form

New Client Registration Form

* Indicates required field

Owner's Name *

First

Last

Primary Phone Number *

Secondary Phone Number *

Owner's Email *

Spouse/ Co-Owner Name *

First

Last

Co-Owner Phone Number *

Owner's Mailing Address *

Line 1

Line 2

City

State

Zip Code

Country

*** Owner's listed above cannot be removed without consent from both parties ***

What is your preferred method of communication for medical & appointment reminders? Choose all that apply (Only the primary owner will receive reminders) *

Email Mail Text Message

We occasionally post patient photos on our social media sites. Only the pet's name and photo will appear. Do we have your permission to take and use photos of your pet on our social media sites?

Choose One *

Yes - Okay to post photos No - Please do not use my pets photo

How were you referred to our practice? *

If you selected Existing Client above, please list the clients name. *

List other individuals who may authorize treatment of your pet(s): *

By clicking yes, I agree to be held financially responsible for all pets in this file and to pay all fees, including services authorized by the individuals listed above. All fees are due at the time services are rendered. I understand that any medical or surgical procedure carries some risk and that it is not possible to guarantee a successful outcome of any procedure. This agreement will remain in effect indefinitely from this date, unless I notify Britannia Kingsland Veterinary Clinic in writing, requesting to cancel the agreement. *

Yes

I agree to receiving marketing and promotional materials

Submit

** Please remember to fill out a new Patient Form for your pet too. Click the buttons below to access the forms.

New Patient Forms - Canine/Feline

New Patient Form - Exotic Pet

HOURS OF OPERATION

MONDAY- FRIDAY 8 AM - 6 PM
SATURDAY: 9 AM - 2 PM
SUNDAY: CLOSED

STATUTORY HOLIDAYS: CLOSED
Christmas Eve & New Years Eve Closed

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Britannia Kingsland Veterinary Clinic
7738 Elbow DR SW
Calgary, AB T2V 1K2

Call or Text: 403-253-7044
Fax: 403-253-7147
Email: info@calgaryvet.com

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