Slow Vet Medicine

1527 57TH W Avenue
Vancouver, BC V6P 6E9

(604)565-7217

www.slowvetmed.com

New Client Appointment

Note: We prefer that clients call to book appointments as emails are not always checked promptly.

Please complete the following form to request an appointment. Please also note that availability will vary depending on your request. Your appointment will be confirmed by phone by a member of our staff. Thank you!

Please use our form to request an appointment. You can also call us at (604)565-7217 and we will be happy to help.

New Client Appointment

Name
First Name
Last Name
Address
Street Address
City
,		State / Province
Zip / Postal Code
Phone
Phone TypePhone Number
E-Mail Address (required) :
Pet's Name (required)

Age: Years, Months

Type of Pet :
Breed

Sex (required)

Male
Female


Neutered/Spayed

Neutered
Spayed


Are your pets vaccines current?

Yes
No


Do you have pets medical records?

Yes
No


Medical records at another veterinary practice?

Yes
No


Name of Former Veterinary Practice

May we request a transfer of records?

Yes
No


Would you like us to call you for your appointment?

Yes
No


Reasons or conditions that prompted your visit?

Special requests or conditions?

Please list any additional pets here

Please Read
I understand, by indicating I agree and submitting this registration, that I am responsible for any charges incurred by my pet while in the care of the doctors at Dr. Calland - Veterinary Consulting Service and that charges are due and payable at the time of service, unless other arrangements are made in advance. Any balance that is carried over a period of 30 days will accrue a monthly finance charge of 1.5% or 18% per annum. Any balance that I leave unpaid will be forwarded to Dr. Calland - Veterinary Consulting Service 's collection agency, and will incur a 25% collection fee for which I am liable, in addition to monthly finance charges.
I have read this statement and - (required)

I agree
I Disagree



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Hours & Contact

Mon-Fri: 10:00am-5:00pm

Sat: 11:00am-2:00pm

Sun/Stat Holidays: Closed


richardcalland@shaw.ca

Tel: (604)565-7217