About Us
Contact Us
Resources
Order Online
Book Online
Back
Our Story
Our Team
Our Services
Our Wellness Plans
Our Manifesto
Back
Exam Types
Scoring Charts
Anti-Anxiety Medication
Diet Trials
Cancellation Policy
Puppy Information
Kitten Information
Spay and Neuter
Dental Procedures
Travelling with your Pet
Wellness Plans
Video Gallery
Other Resources
About Us
Our Story
Our Team
Our Services
Our Wellness Plans
Our Manifesto
Contact Us
Resources
Exam Types
Scoring Charts
Anti-Anxiety Medication
Diet Trials
Cancellation Policy
Puppy Information
Kitten Information
Spay and Neuter
Dental Procedures
Travelling with your Pet
Wellness Plans
Video Gallery
Other Resources
Order Online
Book Online
Primary Owner
Name
*
First Name
Last Name
Address (including unit number)
*
Primary Phone
*
(###)
###
####
Cell
Landline
Work
Other
Alternate Phone
(###)
###
####
Cell
Landline
Work
Other
Email
*
Secondary Owner
Name
First Name
Last Name
Adress (including unit number)
Leave blank if same as Primary Owner.
Primary Phone
(###)
###
####
Cell
Landline
Work
Other
Alternate Phone
(###)
###
####
Cell
Landline
Work
Other
Email
Please tell us about your furry family member:
Pet Name
*
Species
*
Breed
*
Colour
*
Age or Date of Birth
*
Gender
*
Intact Male
Neutered Male
Intact Female
Spayed Female
Reason for Current Appointment:
*
Current Medical Concerns
*
Previous Veterinary Clinics
Clinic Name and City
Insurance Company (and policy number if known)
Sharing Medical Records
*
I authorize the staff at Olympic Village Veterinary Clinic to contact my previous veterinary clinics for my pet's medical records. Reviewing previous medical records ensures your pet receives continuous medical care, without duplicating or missing any important information.
Yes
No, I will contact my previous veterinary clinics and have my pet's records forwarded BEFORE my appointment.
Releasing Medical Records
If you board your pet, or have them groomed, do you allow us to release/confirm vaccine information with boarding and/or grooming service providers?
Yes
Yes, after contacting me to confirm.
No
Photo Consent
*
I give consent for Olympic Village Veterinary Clinic to share photos and/or videos of my pet on their social media (Facebook, Instagram) and website. (We only share your pet's name and image, unless you consent to photos of yourself as well.)
Yes
No
If yes, please let us know your or your pet's social media tags!
Preferred Methods of Communication
*
Email
Text
Call
Thank you!
