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Village Animal Clinic

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New Client Form

First & Last Name

Address

Phone/Email

Pets Name

Breed

Colour

Sex

Male

Neutered

Female

Spayed

Previous Vet

I give permission for Village Animal Clinic to contact my previous veterinarian for records

Does your pet plan on boarding or going to doggie daycare?

Yes

No

Thanks for submitting!

Village Animal Clinic

(905) 294-9395

6060 York Regional Rd 7, Markham, ON L3P 3A9, Canada

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