New Clients Registration Form

Thank you for choosing Abivale Veterinary Group, one of the leading small animal vet practices in South Oxfordshire. These registration details help to ensure our records are complete and that we meet the various legal requirements. We will have your completed form printed and ready for you to sign at reception when you come in for your pet's first appointment.

Your Details Title * Mrs Miss Mr Sir - First Name * Surname * Address * Post Code * Telephone - Contact * Email Address * How did you find out about us? * Internet Search Recommendation Location Local Advertising Yell.com Yellow Pages Thompson Round and About Practice Web Site Practice Signage Other - Registration Branch* Abingdon Didcot Oxford Wallingford Wantage - Mandatory fields *

Your Pets Details Pet's Name * Species (eg. dog)* Breed Age/Date of Birth Sex Male Female - Neutered - Yes No ID Chip Number Weight Insured * Yes No - Name of Insurance Company Vaccinations Up to Date? Yes No - Date of Last Vaccinations Name of Previous Vets Known Drug Reactions Known Serious Conditions

Terms and Conditions

Records
The practice keeps computer records based on information from this form, the clinical notes regarding your pet and any financial history you may have with the practice. This information is for practice use only, but may be requested by Pet insurance companies for claims, other veterinary practices (when changing practice) and for debt collection purposes.

Fees
Our normal terms of business are for all payments, including insured cases, to be made at the time of consultation or on collection of your pet after hospitalisation / operation.