Returning Client Form

Location:

Booked Appointment Date*:

Booked Appointment Time*:

Name (associated with your file)*:

Phone Number (associated with your file)*:

Email Address:

Pet Name*:

Photo and Social Media Release Consent*:

I grant VetsToronto Kingston Road Animal Hospital and it’s staff the right to take photographs of me and or my pets(s) and to copyright, use, and publish in print or electronically for use on VetsToronto Social Media.

Yes
No

Signature*:

Date*:

Now

REGARDING YOUR APPOINTMENT

We have an online store that lets you buy food, toys, and treats with delivery to your home. An invite gets sent to your email so look out for it if you wish to register. Would you like to register for FREE?:

Yes No

Security Question *:

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I HAVE READ AND UNDERSTOOD THE PRIVACY POLICY *: