3961 Hastings Street

Burnaby, BC V5C 2H8

604 291 6666

Client Support

Mon - Fri: 8AM - 6PM

Online store always open

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Thank you for this opportunity to care for your pet. Please fill out this new client registration form prior to your first appointment with us. Make sure to fully complete it so that we may serve you better. The required sections have an * asterisk. If you have any questions, our staff would be happy to help!

Owner Information
Owner Name *
Spouse/Partner/Alternate Guardian *
Address *
City *
Province *
Postal Code *
Primary Phone *
Secondary Phone *
Email Address *
I acknowledge that I am listed as a contact for my pet and I am thus able to make medical and financial decisions. *
Your email will be used for appointment, medical, and vaccine reminders, as well as newsletters. *
Pet Health History
Pet`s Name *
Date of Birth *
Breed *
Sex: *
Date/Type of last vaccine *
Is your pet insured: *
Previous Vet *
How did you hear of us? *
Would you like to add another pet to your profile? *
Pet`s Name *
Breed *
Date of Birth *
Sex: *
Date/Type of last vaccine *
Is your pet insured: *
Previous Vet *
Would you like to add another pet to your profile? *
Pet`s Name *
Date of Birth *
Breed *
Sex: *
Date/Type of last vaccine *
Is your pet insured: *
Previous Vet *
Would you like to add another pet to your profile? *
Pet`s Name *
Date of Birth *
Breed *
Sex: *
Date/Type of last vaccine *
Is your pet insured: *
Previous Vet *
Would you like to add another pet to your profile? *
Pet`s Name *
Date of Birth *
Breed *
Sex: *
Date/Type of last vaccine *
Is your pet insured: *
Previous Vet *
Authorization *
Pet Social Media Consent
I grant to Hastings Veterinary Hospital, its representatives, and employees the right to take photographs of my pet, and to copyright, use, and publish the same in print and/or electronically. I agree that Hastings Veterinary Hospital may use such photographs of my pet with or without my name and for any lawful purpose, including, for example, such purposes as publicity, illustration, advertising, and web content. *

Owner Information

I acknowledge that I am listed as a contact for my pet and I am thus able to make medical and financial decisions.*
Your email will be used for appointment, medical, and vaccine reminders, as well as newsletters.*

Pet Health History

Pet Social Media Consent