New Client Questionnaire

Welcome to Lockerby Animal Hospital! We are very excited to meet you and your pet! Thank you for taking out the time to fill out our questionnaire prior to your appointment. This allows us to get to know you and your pet a little before the appointment so we can focus in on the things that really matter to you. Please feel free to call 705-522-4555 or email info@lockerbyanimalhospital.com if you have any questions.

 

CLIENT INFORMATION

Someone (not an owner) authorized to make medical and financial decisions for your pet.

I would like to receive appointment reminders and hospital updates by *



PET INFORMATION

(If this person is not the owner, please indicate their relationship to you and if they are able to make medical and financial decisions on your behalf).

We can call your previous veterinarian to have records transferred. Please bring any documentation you may have.

Medication name, dose and frequency.

I currently have concerns about my pet's:












Please help us understand your pet's lifestyle. Please check all that are applicable.








Security Question *