Registration Form - Cambie Village Animal Hospital

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Home
About us
Services
Register Now
Contact Us

Home
About us
Services
Register Now
Contact Us

Registration Form

Thank you for trusting Cambie Village Hospital. If you would like to be a client please fill out this registration form. Thank you

510 West 24th Ave, Vancouver, B.C, V5Z 2B4

Owner’s Name: Phone: Email Address

Would you like reminders sent to you via e-mail? YesNo

Patients Name Breed

Species CanineFelineRabbit

Sex:

Spayed YesNo

Neutered YesNo

Date of Birth Known Allergies

Hospital History

Hospital City How did you hear about our hospital?

I assume responsibility for all charges incurred for the care of this animal(s). I understand these charges will be paid at the time of release and that deposit is required for the care of the animal(s). I agree that I am above the age of 18 and am the authorized responsible party for the animal(s) described above. Yes I Agree
Date

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Working hard to fulfill the quality of life and happiness for pets and owners.

Our Services

Spaying & Neutering
Wellness check & Vaccinations
Food Supply & Delivery
Flea & Tick Control

Radiology
Cardiology
Prescription Food and Supply Order/Delivery
Dermatology

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