Call Us: (519) 601-3011

Visit Us: 1166 Commissioners Road East, Unit 5 London, ON N5Z 4W8 Canada

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Client's Information

Patient's Information

Sex:Male IntactMale NeuteredFemale IntactFemale Spayed

Birth Date:
Medical History
Date of last vaccine:

What food do you feed your pet, How often & how much quantity?

Previous medical problems if any:

Reason for visit:New PetAnnual Check-upVaccinationsSick PetSurgery


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Please note:
Payment in full is due when services are rendered. For your convenience, payment may be made with CASH, VISA, DISCOVER, MASTERCARD or INTERAC.
We Do not accept Cheque/American Express Please.

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