New Patient Form Download Form or Pay Deposit Owner(Required)Date MM slash DD slash YYYY Significant OtherAddress(Required) Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Email(Required) Phone(Required)Work PhoneOther PhonePet Insurance?(Required) Yes No If Yes, Name of Insurance Company & Policy #How did you learn about our clinic?*(Required) Sign Outside Yellow Pages Facebook Recommendation Website News Paper Other Number of Pets(Required) 1 2 3 Pet #1Species(Required) Dog Cat Other Pet's Name(Required)Pet's Breed(Required)Pet's Color(Required)Birth Date(Required) MM slash DD slash YYYY Pet's Sex(Required)UndeterminedFemale IntactFemale SpayedMale IntactMale NeuteredPet's Current Medications(Required)Previous Vet Clinics(Required)Reason/s For Visit(Required)Please List A Few Days & Times You Are Available For The Appointment*(Required)Pet #2Species(Required) Dog Cat Other Pet's Name(Required)Pet's Breed(Required)Pet's Color(Required)Birth Date(Required) MM slash DD slash YYYY Pet's Sex(Required)UndeterminedFemale IntactFemale SpayedMale IntactMale NeuteredPet's Current Medications(Required)Previous Vet Clinics(Required)Reason/s For Visit(Required)Please List A Few Days & Times You Are Available For The Appointment*(Required)Pet #3Species(Required) Dog Cat Other Pet's Name(Required)Pet's Breed(Required)Pet's Color(Required)Birth Date(Required) MM slash DD slash YYYY Pet's Sex(Required)UndeterminedFemale IntactFemale SpayedMale IntactMale NeuteredPet's Current Medications(Required)Previous Vet Clinics(Required)Reason/s For Visit(Required)Please List A Few Days & Times You Are Available For The Appointment*(Required)Attention New ClientsAll new clients are required to pay a $92 deposit at the time of booking. This deposit amount will be applied to the invoice total at the end of the appointment. These bookings are subject to a 24-hour notification of cancellation period, or the client forfeits the deposit. In the event the client arrives late to their appointment, they will be rescheduled for a future visit, if available. Should this happen at the next appointment, the client forfeits their right to any future bookings. If two (2) no-shows occur, the client forfeits their right to any future appointment bookingsCancelation PolicyPlease mark this box to confirm you have read the statement.(Required) Our goal is to provide timely care to all our patients and to respect not only the veterinarian’s time, but the constraints of a tightly booked schedule. If you must cancel your appointment, we request a call, email, or text at least 24 hours before your pet’s appointment. This allows us to accommodate other patients who may need prompt medical care.A Note To All ClientsPlease have medical records from all previous vets sent to the clinic email: info@sagecreekanimalhospital.ca We need these records sent in as soon as possible. You may also fax them to: 204-255-1244 If you would prefer us to contact your previous veterinarian on your behalf please complete the Consent To Transfer Medical Records Form Payment Options For Deposit: In-person with cash, debit, or credit | By Phone with credit | Online – using the Pay Deposit button at the top of this page CAPTCHA Δ
