contact us

We'd love to hear from you! You can email us directly using the form to the right, or visit the Contact Us page for our address, hours and more.

           

123 Street Avenue, City Town, 99999

(123) 555-6789

email@address.com

 

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Link to read me page with more information.

Patient Information Form

Please complete this form before bringing your pet for their first visit at Guelph Lake Vet Hospital. If you have more than one pet you will need to complete a form for each pet. This will help us to ensure that our records are accurate and make your check-in process quick and easy when you arrive!

Pet Owner's Name *
Pet Owner's Name
Alternate Contact
Alternate Contact
This could be your partner/spouse, or someone else who is authorized to act on behalf of the pet.
Address *
Address
Phone *
Phone
Cell Phone
Cell Phone
Is your pet spayed or neutered? *
Are your pet's vaccinations up to date? *
Do you have pet insurance?
Would you like to receive our newsletter via email?
If yes, please make sure that you have entered your email above!
Authorization
By clicking here, you agree that you are the owner of this pet and authorized to make decisions regarding the pet's health and treatment.