New Client

Fleetwood Veterinary Clinic

#106 - 17670 65A Avenue
Surrey, BC V3S 5N4

(604)576-6640

www.fleetwoodvet.ca

New Client Check In

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New Client

Name

First Name	Last Name

Address
Street Address

City ,	State / Province	Zip / Postal Code

Main Phone
Phone Type	Phone Number

Alternate Phone
Phone Type	Phone Number

E-Mail Address :

Preferred Method of Contact

Pet's Name

Age: Years, Months

Type of Pet :

Breed:

Sex:

Male
Female
Unknown

Neutered/Spayed

Neutered
Spayed
Unknown

Are your pets vaccines up-to-date? :

Has your pet been seen at another clinic? :

Name of Previous Veterinary Clinic

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Fleetwood Veterinary Clinic

#106 - 17670 65A Avenue

Surrey, BC V3S 5N4

Phone: 604-576-6640

Email: contact@fleetwoodvet.ca

HOURS

Monday	8:00 AM - 8:00 PM
Tuesday	8:00 AM - 5:00 PM
Wednesday	8:30 AM - 5:00 PM
Thursday	8:00 AM - 8:00 PM
Friday	8:00 AM - 8:00 PM
Saturday	Closed
Sunday and Stat holidays	Closed

SERVICE AREA

Cloverdale, Langley, Surrey, New Westminster, White Rock, South Surrey, Vancouver, Coquitlam and beyond!

SOCIAL

Group of animals

Fleetwood Veterinary Clinic

#106 - 17670 65A Avenue

Surrey, BC V3S 5N4

Phone: 604-576-6640

Email: contact@fleetwoodvet.ca

HOURS

Monday	8:00 AM - 8:00 PM
Tuesday	8:00 AM - 5:00 PM
Wednesday	8:30 AM - 5:00 PM
Thursday	8:00 AM - 8:00 PM
Friday	8:00 AM - 8:00 PM
Saturday	Closed
Sunday and Stat holidays	Closed

SERVICE AREA

Cloverdale, Langley, Surrey, New Westminster, White Rock, South Surrey, Vancouver, Coquitlam and beyond!

SOCIAL

Group of animals