Lessard Callingwood Veterinary Hospital 780-481-5678

New Client Form

If you are a new client, please fill out the form below to register your pet with our hospital.

CONTACT INFORMATION

Full Name *

Email Address *

Address *

City *

Province *

Postal Code *

Phone Number *

PET INFORMATION

Pet's Name *

Species *

Breed *

Age / DOB *

Your pet's gender

Security Question *

I HAVE READ AND UNDERSTOOD THE PRIVACY POLICY *