New Patients Always Welcome! Book Your Pet's First Appointment

New Patient Form

Please fill out our New Patient Form using one of the options below if your pet is a new patient at Cranbrook Veterinary Hospital.

Option 1

Complete Online

Complete and submit the online form below.

Option 2

Print & Complete

Bring the completed form with you to our hospital.

Download Form

Option 3

Complete on Arrival

If you prefer, fill out the form when you get to our hospital.

New Patient Form

Client Information:

First Name

Last Name

Address

City

Province

Postal Code

Phone Number

Email Address

Pet Information:

Name

Species

Sex

Male

Female

Spayed/Neutered?

Yes

Breed

Colour

Age

Birthday

Regular Veterinary Clinic

Is your pet up to date on vaccines?

Yes

Current Medications

Health History (Any allergies? Previous diagnosis? Adverse reaction to anesthesia? etc.)

Spam Blocker

New Patient Form

Option 1

Complete Online

Option 2

Print & Complete

Option 3

Complete on Arrival

New Patient Form

Client Information:

Pet Information:

Looking for an appointment? Contact us today to book.