New Client Information Form

Welcome to East York Animal Clinic. 

Please complete this form as fully as possible prior to your first appointment, which will expedite your registration and help us provide your pet the best care possible. The required sections are marked with an asterisk (*).

A printable version can be found here.
 

Client Information
By providing your email address, you consent to receive email communications regarding your pets (such as reminders).
Pet's Information
*East York Animal Clinic veterinarians reserve the right to refuse to see any pet(s) whose full medical history is not disclosed.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
1 + 0 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.