Call Us: 780-456-3616

Forms

Complete the form below prior to your first visit this will help speed up the check in process.

Owner Information

* Indicates Required Field

Owner's Name:*
Address:*
City:* Postal Code: *
Home Phone:*
Other Phone:
Primary Email:*
Spouse/Other Name:
Relationship Spouse/Other Phone:
How did you first hear of our hospital?

Pet Information

Pet's Name: Species:
Breed: Colour:
Birthdate: Age:
Sex: Spayed/Neutered:
Date of last vaccine: Brand of pet food:
Indoor or outdoor pet:
Microchip #: Tattoo #:
Please click here for our paper form.
Please use this form to request an appointment. Please allow for at least 2 days notice when requesting online. Please note that if this is an emergency please contact, by phone, the nearest animal emergency clinic.

Request Appointment

* Indicates Required Field

Full Name:*
Email:*
Phone:*
Time Requested Option 1:*
Time Requested Option 2:*
Date Requested:*
Reason for Appointment:*
Additional Information for Doctor:
Complete the form below to request a refill of medications for your pet. Each refill will require doctor approval before being filled. Please allow at least 24 hours for us to complete the refill and we will contact you for pick up.

Prescription Refill Request Form

* Indicates Required Field

Full Name:*
Pet's Name:*
Phone:*
Email:*
Drug Name:*
Quantity Requested:*
Date Requested for Pick-up:*
Amount you are giving to your pet (Dosage):*
How is your pet doing on the medication?:*
Additional Information:
Complete the form below to request food for your pet. We will contact you when the food has arrived at the clinic, please allow up to 1 week for arrival from our supplier.

Food Request Form

* Indicates Required Field

Full Name:*
Pet's Name:*
Phone:*
Email:*
Food Requested:
Comments: