Oak House Online Registration

WELCOME TO OAK HOUSE VETERINARY CENTRE AND THANK YOU FOR REGISTERING ONLINE

Surname:

First Name:

Initials/Title:

Address:

Postcode:

Home Phone No:

Other Phone No:

Email Address:*

How did you find out about Oak House Vets - (Please Specify)

Previous Vets (if relevant):

PET DETAILS

Number of Pets

Pet 1 Name:

Pet 1 Species:

Pet 1 Breed:

Pet 1 Sex

Pet 1 Neutered:

YesNo

Pet 1 Colour:

Pet 1 Date of Birth (approx if not known):

Pet 1 LAST VACCINATION: (approx if not known):

Which Insurance Company are you insured with:

Is your pet imported from abroad?

YesNo

If yes please state which country and date entered UK

CURRENT MEDICATIONS AND/OR RECENT TREATMENTS:

Please note that pets requiring repeat prescriptions will need to be assessed every four months for which there is a prescription evaluation fee.

Pet 2 Name:

Pet 2 Species:

Pet 2 Breed:

Pet 2 Sex:

Pet 2 Neutered:

YesNo

Pet 2 Colour:

Pet 2 Date of Birth (approx if not known):

Which insurance company are you insured with:

CURRENT MEDICATIONS AND/OR RECENT TREATMENTS:

Please note that pets requiring repeat prescriptions will need to be assessed every four months for which there is a prescription evaluation fee.

Where did you get your pets from:

Reason for visit:

Please enter the code and press Submit:*

Data Protection: We will use the personal information you give us exclusively for the purpose of registering your pet online. See our Practice Privacy Policy

TERMS AND CONDITIONS OF BUSINESS

All fees MUST be paid for at the time of consultation or discharge after treatment. Payment can be by Cash Delta, Switch, Visa or Access. We operate on our standard terms and conditions of business. If you wish to see a copy, please ask the practice manager.
Please do not send children under 16 yrs with pets to the Centre unless by prior arrangement with the Veterinary Surgeon. Please do not send third parties with pets, as treatments can be complicated by lack of accurate history.
For safety reasons, please ensure that your pet is adequately restrained whilst on the premises – dogs should be on a lead and cats, rabbits, birds etc in a suitable carrier.

Thank you