Register With Us
Please complete the form to register your pets with us. You only need to complete this form for pets that have not been to any of our surgeries before. The surgeries are all linked and all have access to records and notes from any other branch.
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What is your title? *
What is your first name? *
What is your surname? *
What is your postal address? *
What is your postcode? *
What is your preferred contact telephone number? *
Please provide any addtional contact telephone numbers that you have:
What is your email address? *
Have you read and do you agree to our privacy policy? *
Are you happy for us to send you the following?
Email
Text Message
Post
Vaccination and flea / worm treatment reminders via
Marketing information via
Which veterinary practice were you previously registered with? *
We will contact your previous veterinary practice to request the clinical history for your pets.
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This form was created inside of Millcroft Vets.