Stoven Hall Veterinary and Rehabilitation Centre

info@stovenhallvets.co.uk

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01502 575901

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- Equine Registration
- Small Animal Registration
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Small Animal Registration

The first step to register is to fill out the form below or contact us at the surgery on 01502575901. Once we have received your animal’s clinical history off your previous vets, one of our team will contact you to confirm registration.

Online registration request form

Your Details

Your full name:
Address (inc. postcode)
Home telephone:
Work telephone:
Mobile:
Email:
Name of person to call in an emergency:
Phone number of person to call in an emergency:
How many pets are you registering?:
How did you hear about the clinic?:

About Your Pet

Pets name:
Animal type & breed:
Colour and any distinctive markings:
DOB or approximate age:
Sex:   Male    Female    Unsure

Neutered?:   Yes    No

Weight (kg):
Microchipped?:   Yes    No    Unsure

Microchip Nos:
Wormed?:   Yes    No    Unsure

Date of last worming:
Vaccinated?:   Yes    No    Unsure

Date of last vaccination:
Flea'd?:   Yes    No    Unsure

Date of last flea treatment:
Insured?:   Yes    No

Name of insurers:
Previous vets name, address & phone number:
Permission to obtain previous history:   Yes    No

Is your currently receiving any medical treatment for any pre-existing conditions or complaints?:
Has your pet got any known allergies?:
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Last published: 23rd July 2023 - Cookies - Site map - Terms of Use