New Client Health Questionnaire

New Client Information Form

  • Please include: Name, Breed, Color, Sex, and DOB for any additional pets that will be East York Veterinary Center patients
  • Do any of your pet's have allergies?
    I hereby state that I am above 18 years of age and agree to allow East York Veterinary Center to treat my pet. I have been provided a copy of East York Veterinary Centers Financial Policy and understand that all fees are due at the time of service.
  • MM slash DD slash YYYY