Register Your Pet

If your pet is severely unwell or injured, please contact the clinic immediately. If we are closed please call the out hours clinic – South London Emergency Centre on 0208 677 0976

Which practice would you like to register with?

Select a surgery

Pet details

Pets' Names**

Your pet's species*

Pet Colour*

Pet Breed*

Pet's age*

Your pet's sex*

Neutered?*

Yes
No
Unsure

Microchip Number (if known)

If your pet is insured, please enter insurer details:

Address of previous vet*:

If you do not have a previous vet, please write 'unknown'

Contact details

Title*

Your Full Name**

Email Address*

Contact Number*

House name/number**

Street**

City*

Postcode*

Appointment

Do you require an appointment?*

Yes
No

If yes, appointment at which Clinic:

Reason for Appointment*

Please write "not required" if you had indicated you do not need an appointment

Important Note

Please contact your current vet (if applicable) giving your consent to forward your pet’s patient record over to us. Thank you.

Photo Usage

We sometimes take photographs of patients to use on social media or our website.Please indicate if you would rather NOT have your pet’s photo taken/used.

Photo Permission*

How did you hear about us?

Would you like to receive information about our Practice Health Plan?

I am happy to receive Practice/Pet Care advice

I am happy to receive information regarding offers and promotions

I have read and agreed to the privacy policy*

Security Question

Register Your Pet

Which practice would you like to register with?

Pet details

Contact details

Appointment

Important Note

Photo Usage

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