New Client Registration

Please Note: We are currently experiencing limited appointment availability and are unable to accept new clients at this time. You are welcome to register your pet, and a member of our team will reach out as soon as we are able to welcome new clients.

CLIENT INFORMATION

Full Name *

Phone Number *

Address *

City

Province *

Postal Code *

Email Address *

I consent to receiving email communications from Gillies Grove Animal Hospital *

Yes
No

Spouse / Partner / Co-owner Name

PATIENT INFORMATION

Pet's Name *

Species *

Breed

Age / Birthdate *

Sex *

Where can we obtain previous medical records for your pet?

Do you have any concerns and/or other pertinent information?

Does your pet currently require an appointment? If so, what for?

New clients will be required to place a deposit of $50 at the time of booking their first appointment. This deposit will be applied towards the total cost of your appointment and will be deducted from the final balance. Please note that the deposit is non-refundable in case of appointment cancellation or no-show. We understand that unexpected circumstances may arise, and we are here to assist you. If you need to reschedule or cancel your appointment, please notify us at your earliest convenience. Thank you for your understanding and cooperation.

Security Question *

I HAVE READ AND UNDERSTOOD THE PRIVACY POLICY *