Small Animal New Patient Form

Instructions to the Pet Owner

Please fill out this form as best you can. Once you have completed the form, you will be prompted to click on a button to submit it.


*If your veterinarian has any x-rays on file of an area that pertain to the reason you are consulting Dr. Ginette for, please ask to sign them out temporarily and bring them to your first appointment. They will be given back to you at the end of the first visit. Or, many clinics have digital x-rays, in which case your veterinarian can email us your pet’s films at info@holisticwellnesscentre.com Please make the request to your veterinarian at least 48 hours before your first appointment.


If you have any questions, please call our office 519-966-7880, we will be happy to help!

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