Client Details

Fields marked * are mandatory

Client Name:*


Home Number:




Where did you hear about us?:

Pets1st Ltd takes your privacy very seriously and we are committed to handling your information in a secure and responsible manner, in line with the General Data Protection Regulations 2018.

We would like to use your data (by preferred contact e-mail, text or in the absence of these by post) to remind you of vaccinations, appointments, parasite treatments, invitations to special promotions for you and your pet and, if appropriate, healthcare plan reminders and communication.

Are you happy to receive such communications?

Patient Details


How long have you had your pet?:

Species (e.g. cat, dog, horse, rabbit, other):*




Medical History:

Any Allergies?

Current Medication and Diet:

Last Vaccinated date:

Last Flea and Worm Treatment date:

I hereby authorise the veterinarian to examine prescribe for and treat the above described pet. I assume all responsibility for the charges incurred in the care of this animal. I also understand that these charges will be paid for at time of release.


Register Your Pet

If you would like to register your pet, or to speak to a member of our friendly team, please feel welcome to visit us or call (01784) 436367.
We look forward to meeting you and your pet soon.