Edmonton West Animal Hospital & Spay/Neuter Centre
Forms

New Client Registration Webform

New to Edmonton West Animal Hospital? Register yourself and your pets before your first visit so we can have your file ready when you arrive.

Pet Parent Information

Tell us how to reach you. Fields marked with * are required.

Owner's Name *

Address *

Pet #1 Information

Add each pet you'd like registered. Leave the extra sections blank if you have fewer pets.

Pet #2 Information

Pet #3 Information

A Few More Details

How did you hear about us?

Do you give us permission to post pictures of your pet on social media?

Authorization to Provide Care

Authorization to provide care

I confirm I am 18 years old (or older) and I am the owner (or authorized agent of the owner) for the pet(s) listed above. With my signature, I authorize the veterinarians and staff of Edmonton West Animal Hospital & Spay/Neuter Centre to examine, treat, administer medications, and perform diagnostic and surgical procedures for my pet. I also agree to assume responsibility for all charges incurred in the care of my pet(s), as well as reasonable attorney’s fees, court costs, and interest if the balance is sent for collection. I understand that full payment is due at the time services are rendered.

✍️ Sign here