• Client / Patient Registration Form

    Please fill out this form and provide it to us by:
    (1.) clicking the "Submit Form" button to email it to us, or
    (2.) printing it and bring the form to your appointment, or
    (3.) faxing the form to 403-246-5725.

  • CLIENT INFORMATION

  • * NOTE:  An e-mail address is required in order to send out medical and vaccination reminders for your pet. *

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  • ANIMAL INFORMATION

  •  -  - Pick a Date




  • I grant to Glamorgan Animal Clinic representatives and employees the right to take photographs of my animal(s) for their medical records and to document any health issues.

    I grant to Glamorgan Animal Clinic authorization to transfer my medical record and personal information when required to another veterinary clinic for, but not limited to, referrals, emergencies, boarding, grooming, etc.

    I grant to Glamorgan Animal Clinic authorization to send electronic and mail post communications, such as reminders, alerts, messages, newsletters, etc. I am aware that I can unsubscribe at anytime by following the prompts on the electronic messages or by contacting the clinic directly.

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