Register Your Pet in Our Office Today!

New Client Registration Form

Thank you for choosing Edmonds St. Animal Hospital for your veterinary needs. We’ve provided a form below to help expedite the registration process for new patients. Please fill out the form and send it prior to your appointment. We look forward to seeing you.

Owner's Name

Pronouns

Co-Owner's / Secondary Contact Name

Pronouns

Address

City

State/Province

Postal/Zip Code

Primary Contact Phone Number

Secondary Contact Phone Number

Secondary Contact Email

How did you find out about our practice?

Referral Website Phone Directory Other Print Advertising Other

If Other, Please Specify

If you have already scheduled your appointment with us, please list the date

What time is your appointment?

Pet Name

Species

Breed (if known)

Age (if known)

Color

Sex

Male Female

Spayed or Neutered?

Yes No

Microchipped?

Yes No

Name of Previous Veterinary Practice, if any

May we obtain medical records from previous clinic?

Yes No

Date of Last Vacinations (if known)

What vaccines did your pet receive at this time?

Please list any known medical conditions your pet has.

Please list any medications or supplements your pet takes.

If you pet has any allergies or known drug reactions, please list.

Do you have pet insurance?

Yes No

If yes, please provide the pet insurance company

Policy Number

If you have additional information about your pet, or your reason for visit, please use the box below.

Contact

7621 Edmonds Street
Burnaby, BC

(604) 540-7387
edmondsvet@yahoo.ca

Monday – Friday: 8am to 7pm
Saturday: 9am to 5pm
Sunday: 10am to 5pm

Services

Wellness Exams
Surgical Procedures
In-Clinic Pharmacy
Diagnostic Procedures
Pet Identification
Feline Vaccinations
Canine Vaccinations
Euthanasia & Cremation Services