Forms – Macleod Trail Animal Hospital | Veterinary Clinic Calgary

New Client Form
Prescription Refill
Book Appointment

Thank you for giving us the opportunity to care for your pet.
Please help us meet your needs better by taking a moment to share some important information we will need as we support your pet’s needs today and in the future.

Owner Information
First Name:*		Last Name:*
Address:*
City:*		Postal Code:*
Home #:*		Cell #:
Work #:		Additional #:
Emergency Contact:		Phone #:
Email:*
How did you hear about us?
Appointment already booked?*
Date and time of appointment if booked?

I agree to allow, Macleod Trail Animal Hospital, to add my email to their mailing list so I can receive email correspondence which may contain reminders, news and clinic promotions.

Pet Information
Species	Pet's Name	Birthdate	Sex	Altered	Breed	Colour




All information given is confidential and will not be released unless the responsible agent requests or gives permission.

Please complete the form below to submit a request for us to refill a prescription for your pet.
We will contact you to confirm your request.

Please complete the form below to submit a request for us to for an appointment for your pet.
We will contact you to confirm your request.

Prescription Refill Request
First Name:*		Last Name:*
Phone #:*		Email:*
Pet's Name:**
Medication to be refilled?*
How much and how often are you giving this medication?*
What quantity would you like filled?*
How is your pet doing?*
Is there anything you would like us to know?*
Do you have enough medication for the next 48 hours?*
You will be notified when your prescription is ready to be picked up. Please ensure to check your junk folder for our reply. Please be aware compounded medications can take 5-6 days to arrive.