New client online registration form

Special Online Offer!

If you are a new client and register online with us for the first time, you can save £10 on your first visit with a pet. This applies to your first visit involving either consultation or vaccination costing £20 or over.

WELCOME TO OAK HOUSE VETERINARY CENTRE AND THANK YOU FOR REGISTERING ONLINE
Surname:
First Name:
Initials/Title:
Address:
Postcode:
Home Phone No:
Other Phone No:
Email Address:*
Where did you hear about us: - (Please Specify)
How did you find our Website:
PET DETAILS
Number of Pets
Pet 1 Name:
Pet 1 Species:
Pet 1 Breed:
Pet 1 Sex
Pet 1 Neutered:

Yes No
Pet 1 Colour:
Pet 1 Age/Date of Birth:
Month Day Year
Pet 1 LAST VACCINATION:
Month Day Year
Which Insurance Company are you insured with:
CURRENT MEDICATIONS AND/OR RECENT TREATMENTS:
Please note that pets requiring repeat prescriptions will need to be assessed every four months for which there is a prescription evaluation fee.
Pet 2 Name:
Pet 2 Species:
Pet 2 Breed:
Pet 2 Sex:
Pet 2 Neutered:

Yes No
Pet 2 Colour:
Pet 2 Age/Date of Birth:
Month Day Year
Pet 2 LAST VACCINATION:
Month Day Year
Which insurance company are you insured with:
CURRENT MEDICATIONS AND/OR RECENT TREATMENTS:
Please note that pets requiring repeat prescriptions will need to be assessed every four months for which there is a prescription evaluation fee.
Where did you get your pets from:
Previous Vets (if relevant):
Reason for visit:
Please enter the code and press Submit:*
TERMS AND CONDITIONS OF BUSINESS

All fees MUST be paid for at the time of consultation or discharge after treatment. Payment can be by Cash, Delta, Switch, Visa or Access. We operate on our standard terms and conditions of business. If you wish to see a copy, please ask the practice manager.
Please do not send children under 16 yrs with pets to the Centre unless by prior arrangement with the Veterinary Surgeon. Please do not send third parties with pets, as treatments can be complicated by lack of accurate history.
For safety reasons, please ensure that your pet is adequately restrained whilst on the premises – dogs should be on a lead and cats, rabbits, birds etc in a suitable carrier.

Thank you
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Together we care for your pets

New client online registration form

Special Online Offer!

Contact Details