Fraser Valley Animal Hospital

2633 Ware Street
Abbotsford, BC V2S 3E2

(604)854-2313

fvah.ca

New Client Form

Thank you for giving us the opportunity to care for your pet. To insure the best care possible, please take time to fill in this form completely. Thank You!

Also by submitting this form you are giving us permission to send you emails. You may opt out at any time by contacting our office.

If you would like to make an appointment please submit this form.

New Client

Name *(required)*

First Name (required)	Last Name (required)

Address (required)
Street Address (required)

City (required) ,	State / Province (required)	Zip / Postal Code (required)

Daytime Phone (required)
Phone Type	Phone Number (required)

Evening Phone (required)
Phone Type	Phone Number (required)

E-Mail Address (required) :

Pet's Name (required)

Age: Years, Months

Type of Pet (required) :

Breed: (required)

Color: (required)

Sex: (required)

Male
Female

Neutered/Spayed

Neutered
Spayed

Are your pets vaccines current?

Do you have pets medical records?

Medical records at another veterinary Practice?

Yes
No

Name of Former Veterinary Practice

May we request a transfer of records?

Yes
No

May we use your pets photo on social media platforms? (required)
Yes
No

Date of Appointment Booked? (required)

Reasons or conditions that prompted your visit?

Special requests or conditions?

Please list any additional pets here

Verify the reCAPTCHA:

Visit us at:
2633 Ware Street Abbotsford
British Columbia, V2S 3E2

HOURS

Monday: 8am-6pm

Tuesday: 8am-7pm

Wednesday: 8am-7pm

Thursday: 8am-7pm

Friday: 8am-6pm

Saturday: 8am-4:30pm

Sunday: 8am-4:30pm

Statutory Holidays: CLOSED

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