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New Client Registration

Thank you for choosing Nith Valley Animal Hospital for your pet. We're excited to meet you and your four-legged family member.

Please complete this form before your first appointment. The information you share helps us set up your file, prepare for your visit, and provide the best possible care.

Required fields are marked with a black*.

WELCOME TO NITH VALLEY ANIMAL HOSPITAL

Owner's Name

Name*

First

Last name*

Last

Address*

Street Address

Address

Address Line 2

Address*

City

Address*

State / Province / Region

Address*

ZIP / Postal Code

Address*

Country

Phone*

Primary Phone

Phone*

Secondary Phone (Optional)

Email*

Enter Email

Email*

Confirm Email

Co-owner's Name & Contact #

Name*

First

Short answer*

Last

Phone*

Primary Phone

How did you find out about our practice?

Clinic Location

Personal Referral

Internet Search / Website

Clinic Sign

Yellow Pages

Social Media

Newspaper / Print Media

If Other, please specify:

If Personal Referral, is there someone we can thank for this refferral?

Please use this area to give us any other relevant information about yourself or your family

Pet Information

Pet's Name*

Species*

Breed (if known)

Color

Date of Birth of Age (if known)

Sex

Special Identification (tattoo, microchip, etc.)

Previous Veterinary Practice (if any)

Previous Veterinarian (if any)

Date of last vaccines (if known)

What vaccines were given at this time?

Is your pet on any medication or supplement?

Yes

If Yes, please list the medication or supplement

What food does your pet eat?

Does your pet have allergies or drug reactions?

Option 1

Option 2

If Yes, please list the allergies and reactions

Are there any current or past medical conditions of which we should be aware?

Yes

If Yes, please comment on the condition(s) and indicate if they are current or past conditions

Please use the following box to give us any other relevant information about your pet

Nith Valley Animal Hospital

Book an Appointment

Schedule wellness exams, vaccinations, dental care, and more. We'll work with you to find a time that fits your schedule.

Book an Appointment

We're Here For You & Your Pet

Whether you need to book a visit, ask a quick question, or talk through a concern, the Nith Valley Animal Hospital team is here to help

Call or Email

Have a question about your pet's care, medications, or test results? Get in touch and we'll be happy to help.

P: (519) 662-2749

E: info@nithvalleyah.com

Emergencies

New Client Registration

WELCOME TO NITH VALLEY ANIMAL HOSPITAL

Owner's Name

Co-owner's Name & Contact #

Pet Information

Book an Appointment

Schedule wellness exams, vaccinations, dental care, and more. We'll work with you to find a time that fits your schedule.

We're Here For You & Your Pet

Whether you need to book a visit, ask a quick question, or talk through a concern, the Nith Valley Animal Hospital team is here to help

Call or Email

Have a question about your pet's care, medications, or test results? Get in touch and we'll be happy to help.

P: (519) 662-2749

E: info@nithvalleyah.com

Visit & Hours

Nith Valley Animal Hospital
78 Huron St, New Hamburg, ON N3A 1J3

Mon, Tue, Wed & Fri:
8:30 am - 5:30 pm
Thursday: 8:30 am - 8 pm
Saturday: By special request
Sunday: Closed

New Client Registration

WELCOME TO NITH VALLEY ANIMAL HOSPITAL

Owner's Name

Co-owner's Name & Contact #

Pet Information

Book an Appointment

Schedule wellness exams, vaccinations, dental care, and more. We'll work with you to find a time that fits your schedule.

We're Here For You & Your Pet

Whether you need to book a visit, ask a quick question, or talk through a concern, the Nith Valley Animal Hospital team is here to help

Call or Email

Have a question about your pet's care, medications, or test results? Get in touch and we'll be happy to help.

P: (519) 662-2749

E: info@nithvalleyah.com

Visit & Hours

Nith Valley Animal Hospital 78 Huron St, New Hamburg, ON N3A 1J3

Mon, Tue, Wed & Fri: 8:30 am - 5:30 pm Thursday: 8:30 am - 8 pm Saturday: By special request Sunday: Closed

Nith Valley Animal Hospital
78 Huron St, New Hamburg, ON N3A 1J3

Mon, Tue, Wed & Fri:
8:30 am - 5:30 pm
Thursday: 8:30 am - 8 pm
Saturday: By special request
Sunday: Closed