New Client Registration Form

Complete the new client form for VetCare Hawthorn before your first appointment. This online veterinary registration form helps pet owners across Hawthorn, Kew, Camberwell, and nearby Melbourne suburbs save time and provide accurate details for their dog or cat’s visit.

Complete Form

New Client Form

Please complete this form before your first visit so our team can prepare accurate records for you and your pet.

Client Name: *

First

Last

Client Address: *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Client Phone: *

Client Email: *

Secondary Contact: *

First

Last

Secondary Contact Phone:

Patient Name: *

Species: *

Breed: *

Colour: *

Date of Birth: *

Desexed: *

Does your pet have a microchip identification? *

Last Vaccination Given: *

Last Parasite Control Given: *

Food Currently Given: *

Previous Vet Clinic (History Request): *

Permission for Photos: *

Name

New Client Registration Form

New Client Form

Book Your Pet’s Appointment

Have a Question?

Location

Contact

Hours