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Home
Services
- Saying Goodbye
- Locations
About
Care Kit & Pricing
Contact
- F.A.Q.
- Pet Care Blog

Appointment Request

Booking

Client Information

First Name

Last Name

Phone

Email

Address

City

Postal Code

Directions and Parking Information

Are you an existing Client?

Yes No

Co-Owner First Name

Co-Owner Last Name

Co-Owner Phone

Co-Owner Email

How did you hear about Dr. Wendy Vet Care?

Pet's Information

Pet's Name

Have we seen this pet before?

Yes No

Breed

Colour

Species

Feline Canine Other

Gender

Male Female

Is your pet spayed/neutered?

Yes No

Date of birth

Weight in Pounds

Microchip Number

Does your pet have insurance?

Does your pet have difficulty with strangers? Have they had difficulties with exams in the past? Have they ever been labeled as aggressive or fearful?

Appointment type

Annual Exam Unwell Appointment Quality of Life Assessment Euthanasia

Medical concerns or reason for visit

Additional Pets

Yes No

Second Pet Information

Pet's Name

Have we seen this pet before?

Yes No

Breed

Colour

Species

Feline Canine Other

Gender

Male Female

Is your pet spayed/neutered?

Yes No

Date of birth

Weight in Pounds

Microchip Number

Does your pet have insurance?

Does your pet have difficulty with strangers? Have they had difficulties with exams in the past? Have they ever been labeled as aggressive or fearful?

Appointment type

Annual Exam Unwell Appointment Quality of Life Assessment Euthanasia

Medical concerns or reason for visit

Additional Pets

Yes No

Third Pet Information

Pet's Name

Have we seen this pet before?

Yes No

Breed

Colour

Species

Feline Canine Other

Gender

Male Female

Is your pet spayed/neutered?

Yes No

Date of birth

Weight in Pounds

Microchip Number

Does your pet have insurance?

Does your pet have difficulty with strangers? Have they had difficulties with exams in the past? Have they ever been labeled as aggressive or fearful?

Appointment type

Annual Exam Unwell Appointment Quality of Life Assessment Euthanasia

Medical concerns or reason for visit

Additional Pets

Yes No

Fourth Pet Information

Pet's Name

Have we seen this pet before?

Yes No

Breed

Colour

Species

Feline Canine Other

Gender

Male Female

Is your pet spayed/neutered?

Yes No

Date of birth

Weight in Pounds

Microchip Number

Does your pet have insurance?

Does your pet have difficulty with strangers? Have they had difficulties with exams in the past? Have they ever been labeled as aggressive or fearful?

Appointment type

Annual Exam Unwell Appointment Quality of Life Assessment Euthanasia

Medical concerns or reason for visit

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