New Client Registration Form

Thank you for considering our hospital as your pet’s provider of veterinary services. We are dedicated to maintaining the health of your pet and look forward to many future years together. Please complete this from as fully as possible prior to your first appointment which will help expedite the registration process and give us valuable insight in providing optimal care for your pet(s). The required sections have a red * asterisk.

  • Owner's Name

  • Address

  • Co-owner's Name & Contact #

  • Pet Information

    Effective July 1, 2014, Canada’s Anti-Spam Legislation requires consent for sending commercial electronic messages to clients or prospective customers, in order to prohibit the sending of unsolicited commercial electronic messages to recipients who have not consented to being sent such messages. Therefore, Amberlea Animal Hospital is required to obtain your consent to send you email communications such as medical information, medical results, medical updates, hours of operation, client education, etc.