New Client Form

Name: Neighbourhood Pet Clinic
Address: 746 Waterloo Street, London, ON, N6A 3W3, Canada
Telephone: 519-649-0080
Price range: $

We look forward to seeing you soon.

Register your pet.

Please complete this form 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). You can also download and complete your form by clicking here.

Owner's Name *

First

Last

Email *

Day Phone *

Evening Phone

Mobile Phone

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Co-Owner's Name *

First

Last

Co-Owner's Phone *

Which location are you registering for? *

Please use this area to provide any other relevant information about yourself or your family:

Pet's Name *

Pet's Age / Date of Birth

Pet's Breed

Pet's Colouring

Pet's Special Identifications: (i.e. microchip, tattoo, unique markings, etc.)

Pet's Sex *

Male
Male - Neutered
Female
Female - Spayed

Previous Veterinary Practice: (if known)

Previous Veterinarian: (if known)

Date of Last Vaccinations: (if known)

What vaccinations were administered at this time? (if known)

Is your pet on any medication or supplement?

No
Yes

What food does your pet eat? *

Does your pet have any allergies or drug reactions?

No
Yes

Are there any current or past medical conditions of which we should be aware?

No
Yes

Please use this area to provide any other relevant information about your pet:

Name

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Contact Us

Phone: 519-649-0080
Email: parkranger@neighbourhoodpetclinic.com

Mon-Fri: 8am – 7pm
Sat: 9am – 4pm
Sun: Closed

In-Home Services
City of London
Available during Clinic Hours

We are always open on long weekend Saturdays. Our clinic is closed on Statutory Holidays and Sunday only. We look forward to meeting your furry little one.

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Westmount Neighbourhood Pet Clinic

(corner of Wonderland Road South & Viscount Road)
851 Wonderland Road South
London, Ontario N6K 4T2
Canada
Click here for directions.

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North London Neighbourhood Pet Clinic

(corner of Waterloo & Oxford)
746 Waterloo Street
London, Ontario N6A 3W3
Canada
Click here for directions.

Drop us a line!

Complete the form below to email a message to our team. If this is an urgent situation, please call us directly at 519-649-0080.