Register your pets online

If you have not been to any of our surgeries (New Milton or Lymington) before please fill in the details below.

 

Personal Details

Title:


Surname:*

Address:*

Postcode:*

Home telephone number:

Work telephone number:

Mobile telephone number:*

E-mail address:*


Pet Details


Name of pet*


Species*


Breed*

Colour*

Age*

Sex*

Male

Female


Neutered*

Yes

No


Is your pet insured?

Yes

No


Insurance Company

Microchip

Yes

No


Microchip number

Date of last vaccination



Previous Vets Details

We would like to contact your previous vet for your animal’s case history so we can provide good continued care.


Practice name

Town

Telephone number if known

How did you hear about us?



Tick here if you would like to receive a copy of our newsletter via e mail.

I agree to Forest Lodge Veterinary Practice Ltd contacting my previous veterinary practice

I am over 18 years of age*

I have read and understood the terms and conditions*.