New client and pet intake
Tell us about you and your pet before your first visit so we can prepare for them properly.
About you
Your full name
Email address
Best contact number
About your pet
Your pet’s name
Breed
A best guess is fine if you are not sure.
Date of birth or best estimate
Sex
- Female
- Female (desexed)
- Male
- Male (desexed)
- Not sure
Health and behaviour
Allergies, medication or health conditions we should know about
Include anything a new handler would want to know on the first visit.
Does any of this apply to your pet?
- Anxious with strangers
- Does not like being handled around the paws or face
- Has bitten or snapped before
- Reactive to other animals
- None of these
Your usual vet practice
Vet phone number
Emergency contact if we cannot reach you
Emergency contact number
Confirmation
I confirm the details above are accurate and up to date, and I will let you know if anything changes.
Signature
Date