Register-New – Highfield Vets

01332 327287

To register as a new client, please fill in this form with the details of your pet and your contact details. Items with * are necessary, but please provide as much information as possible.

If you want to register more than one pet, then after the page has submitted and you see the thank you message, please provide details for the next pet.

Name*

Email*

First line of address*

Rest of address

Postcode*

Phone Number*

Second Owner Name

Alternative Phone Number

Pet’s Name*

Pet’s date of birth

Is your pet neutered?*

Pet’s sex*

Kind of pet*

Pet’s breed

Pet’s colour

Has your pet travelled outside the UK?*

If yes, which countries have they travelled to and from?

Insurance company (if insured)

Microchip number (if chipped and known)

Previous vets (if previously registered elsewhere)

Do you have any other pets already registered with us?*

Any further details you think may be helpful to us?

How did you hear about us?

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