Thank you for considering our hospital as your pet’s provider of veterinary services. We are dedicated to maintaining the health of your pet and look forward to many future years together. Please complete this form as fully as possible prior to your first appointment which will help expedite the registration process and give us valuable insight into providing optimal care for your pet(s). The required sections have a red * asterisk.

Unless declined I understand that my pet's photo may be used on White Rock Veterinary Hospital's website and social media to help maintain, expand, and educate the public about our services.

*There will be a $25.00 cancellation fee for any missed appointments without 24 hours prior notice.*