New Client Registration Form

Welcome to Clinton Veterinary Services! Thank you for giving us the opportunity to care for your pet. Please help us to better meet your needs by taking a moment to complete this form.

  • Please note that payment is due at the time that services are rendered. We accept payment by cash, debit, VISA or MasterCard. Interest charge on overdue accounts at 2% per month. (26.82% per annum)

    All prescription medications are final sale and cannot be returned, due to legal restrictions.

    It is our policy to provide you with a written estimate of fees for major medical or surgical cases. A deposit may be required prior to treatment.
  • I grant to Clinton Veterinary Services, its representatives and employees the right to take photographs of me, my pet(s), which may include my property. I authorize Clinton Veterinary Services, its assigns and transferees to use the same in print and/or electronically. I agree that Clinton Veterinary Services may use such photographs, without my name, and for any lawful purpose, including, for example, such purposes as illustration, social media and/or web content.

  • The Personal Information Protection and Electronic Documents Act (“PIPEDA”) is federal legislation which came into effect on January 1, 2001. This veterinary facility complies with PIPEDA and is committed to respecting the privacy rights of all individuals, including clients and employees, by ensuring that their personal information is collected, used and disclosed in an appropriate manner. This veterinary facility collects personal information about its clients for purposes of effectively communicating with, and providing veterinary medical services to its clients. Please see our website at for details. Our facility also serves as the pound for stray animals brought in by the Animal Control Officer. It may be necessary to disclose information in your personal file to these third parties under certain circumstances. We may also disclose your personal information where we are permitted or required to do so by law to third parties such as the Health Unit and Health of Animals Office. This facility will obtain your written or verbal consent for other types of disclosures such as the transfer of medical records to another veterinary facility. By providing your information to us, you have consented to these uses and disclosures. By providing your email address you agree to receive email correspondence from Clinton Veterinary Services regarding important reminders, surveys and information. We do not share your email address with third parties for any other reason than those discussed above.

    Should you wish to review our personal information policy, please let the hospital manager know and we will be happy to provide you with a copy of our policy.