Name: Yorkwood Veterinary Clinic
Address: 24018 Woodbine Ave, Keswick, ON, L4P 0M3, CA
Telephone: 905-476-5967
Price range: $$

New Client Registration Form

Thank you for choosing Yorkwood Veterinary Clinic as your pet’s provider of veterinary care.

Please complete this form to register you and your pet with us. The required sections have a red * asterisk.

Caregiver Information
Name*
First Last
Address*
Street Address Address Line 2 City Province Postal Code
Primary Phone*
Cell Phone
Email*
Enter Email Confirm Email
Alternate Caregiver Information
Name
First Last
Phone
How did you find out about our Veterinary Clinic?
- Clinic Location
- Personal Referral
- Internet Search / Website
- Social Media
If Personal Referral, is there someone we can thank for this referral?
Pet Information
Pet's Name*
Species*
Breed (if known)
Color
Date of Birth or Age (if known)
Special Identification (tattoo, microchip, etc.)
Sex
Previous Veterinary Care Provider (if any)
Please list any medication or supplements your pet is on
Are there any current or past medical conditions of which we should be aware?
- Yes
- No
If Yes, please comment on the condition(s) and indicate if they are current or past conditions

Contact

Phone: 905-476-5967
Toll-Free: 1-866-476-5967
Email: yorkwood@rogers.com

Online Store

Location

24018 Woodbine Ave
Unit 9 Keswick, ON
L4P 0M3

Get Directions

Hours

Monday: 7:30am – 7:00pm
Tuesday: 8:00am – 7:00pm
Wednesday: 7:30am – 7:00pm
Thursday: 8:00am – 7:00pm
Friday: 8:00am – 6:00pm
Saturday & Sunday: Closed
*Closed on statutory holidays

New Client Registration Form

Caregiver Information

Alternate Caregiver Information

Pet Information

Contact

Location

Hours