UNDER NEW OWNERSHIP

Accepting new patients and walk-in appointments

4416 W 10th Ave #103, Vancouver, BC V6R 2H9
univ.vet@gmail.com
Contact Us - +1 (604) 224-7743

Home
About
- Our Team
Services
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Contact Us

Home
About
- Our Team
Services
Pet Resources
Forms
Contact Us

UNDER NEW OWNERSHIP

Accepting new patients and walk-in appointments

Home
About
- Our Team
Services
Pet Resources
Forms
Contact Us

Home
About
- Our Team
Services
Pet Resources
Forms
Contact Us

New Client Registration at University Veterinary Clinic

Owner's Name:

Co-Owner Name:

Address:

City:

Postal Code:

Home Phone:

Cell Phone:

Co-owner phone

Email:

Previous Veterinary Hospital

Do you have pet insurance?

Insurance Company

Policy/ Customer #

#1 Pet's Name

Species

Breed

Sex

Female Male

Color

Are they Spayed or Neutered?

Yes No

Date Of Birth

Are their vaccines up to date?

Yes No

Does your pet have any known health conditions or allergies?

#2 Pet's Name

Species

Cat Dog Other

Breed

Sex

Female Male

Color

Are they Spayed or Neutered?

Yes No

Date Of Birth

Are their vaccines up to date?

Yes No

Does your pet have any known health conditions or allergies?

#3 Pet's Name

Species

Cat Dog Other

Breed

Sex

Female Male

Color

Are they Spayed or Neutered?

Yes No

Date Of Birth

Are their vaccines up to date?

Yes No

Does your pet have any known health conditions or allergies?

Date

I hereby acknowledge and agree to the terms and conditions set forth. By signing below, I confirm my acceptance and understanding of these terms.

Financial Agreement and Authorization of Treatment: I authorize the above-named pet(s) and agree, irrevocably, that in the consideration of the services to be rendered, I hereby obligate myself to pay the account in accordance with the regular rates and terms of the provider.

As required by law, you are hereby notified that a negative credit report reflecting your credit may be submitted to a credit reporting agency if you fail to fulfill the terms of your credit obligations to our establishment. Should the account be referred to an attorney or collection agency for collection, the undersigned agrees to pay actual attorney's fees and collection expenses.

A DEPOSIT MAY BE REQUIRED, AND FINAL BILLS ARE UPON RELEASE OF THE PATIENT. NO BILLING OR PAYMENT PLANS.

By clicking SUBMIT you consent to receiving SMS messages fromUniversity Veterinary Clinic Ltd. Messages and Data rates may apply. Message frequency will vary. Reply Stop to Opt-out of messaging. Reply Help for Customer Care Contact Information. I have read and acknowledged the Privacy Policy.

Signature Of Owner

Please check our hospital hours on Google Maps for the most accurate and up-to-date information.
Thank you for trusting us with your pet’s health!

Monday - Sunday:
9:00 AM - 8:00 PM

Comprehensive Veterinary Care Tailored to Your Pet’s Needs

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4416 W 10th Ave #103, Vancouver, BC V6R 2H9
+1 (604) 224-7743
univ.vet@gmail.com

After-Hours Care: In case of urgent needs after hours, please contact the 24 hour emergency hospitals below:
VCA Canada Vancouver Animal Emergency and Referral Centre at +1(604) 879-3737 2303 Alberta Street, Vancouver

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