New Client Form

We Our
FurryFriends

If you are a new client  bringing your dog or cat to East End Veterinary Medical Centre for the first time, or have a new patient, we will have you fill out our Client Information Form upon arrival. In the interest of saving time, we have made this form available to you online. Please feel free to fill out the form prior to your arrival, and either print it out to give to us, or send it to us at info@eevmc.com. DOWNLOAD NEW CLIENT FORM

 

**We are currently not accepting new clients**

    Best Way to reach you?

    Pet Information

    Sex:
    Age:
    Species:
    If Cat:
    Number of Pets in Household?
    Is your pets previous health record availale?

    Statement of Ownership and Consent: I am the owner and/or agent for the above animal and have the
    authorization to consent to treatment if and when it is necessary. I also assume financial
    responsibility for all charges incurred, and agree to pay all such charges at the time services are
    rendered or as arranged prior to examination and/or treatment. SIGNATURE ( typing in your name acts as
    your signature )