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New Client Form

If your pet is a new patient at Queensway West Animal Hospital, please fill out our New Client Form using one of the options below.

Option 1

Complete Online

Complete and submit the online form below.

Option 2

Complete on Arrival

If you prefer, fill out the form when you get to our hospital.

New Client Form

Owner Information

Emergency Contact

Client Information

Primary Veterinarian Information

Please fill this section in if we are not your primary care veterinary hospital. By listing your primary care veterinarian, you are authorizing Queensway West Animal Hospital to release client information to the primary care hospital or veterinarian.
By submitting this form, I hereby authorize Queensway West Animal Hospital to render medical care for my pet(s) as deemed necessary by the veterinarian. I understand that no guarantee can be given to the outcome of treatments and take it as my responsibility to comprehend any risks involved. I agree to pay for the cost of all services to which I consent to by written or verbal estimate. I understand that a deposit is required before diagnostics and treatments can be initiated and that payment in full is required prior to discharge of patient from Queensway West Animal Hospital.

New Patients Welcome

Our team of Kanata veterinarians provides the personalized medical care your pet deserves. Get in touch today to book your companion's first appointment.

Contact Us

Contact Call (613) 271-8387