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  • Client and Patient Registration Form

  • Please fill out this form and provide it to us by one of the following options:


    (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

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  • 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.

    I understand that Glamorgan Animal Clinic requires confirmation for all of my appointments, and this confirmation must be received at the clinic by 8am the day of my appointment. I understand that if I have not confirmed my appointment by that time, my appointment will be canceled and that appointment slot will then be provided to another patient that needs it.

    I understand that if I confirm my appointment and do not show up for it, I will be charged an $92 No-Show Fee.

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