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New Client Registration
Make an Appointment
Is this your first time making an appointment with Balmy Beach Pet Hospital? Click the button below to register with our hospital today!
New Client Registration
We are happy to book an appointment for you. This is not an automatic process. Once we receive your request, we will contact you to confirm a date and time that is as close to your request as possible.
This form should only be used for requesting appointments that will take place at least 2 full business days after the time of the submission of this form.
If your appointment has not been confirmed within 24 hours, please feel free to contact the practice by phone to confirm.
Name
*
First
Last
Email
*
Phone
*
Pet Name
*
Preferred Date
*
Date Format: MM slash DD slash YYYY
Preferred Time (between 10am to 6pm only)
*
:
HH
MM
AM
PM
Reason for appointment
*
Is this your first time at Balmy Beach Pet Hospital?
*
No
Yes
How did you hear about us?
Clinic Location
Personal Referral
Internet Search / Website
Yellow Pages
Clinic Sign
Newspaper / Print Media
Would you like us to contact your previous or regular veterinary clinic to initiate sharing of your pet's medical history?
*
No
Yes
If yes, please indicate the name of the clinic.
*
Consent
*
I authorize Balmy Beach Pet Hospital to transfer/share my pet's medical history.
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Home
New Clients
New Client Registration Form
About
Meet Our Team
Tour Our Hospital
Pet Pics
Fear Free
Pet Health
Pet Health Library
How-To Videos
Pet Health Checker
Pet Food Recalls
Pet Insurance
Product Recalls
News
Blog
Services
PREVENTATIVE CARE & VACCINATIONS
IN-HOUSE DIAGNOSTICS
ULTRASOUND & X-RAY
SURGERY & ANESTHESIA
DENTISTRY
LASER THERAPY
PAIN MANAGEMENT/PALLIATIVE CARE
Contact
Make an Appointment
Client Feedback Form
Schedule an Appointment
New Client Registration