(204) 467-2481 stonevet@mymts.net

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New Client Form in Stonewall Veterinary Hospital

Welcome to Stonewall Veterinary Hospital! Please provide the information below as completely as possible to help us prepare for your pet’s care. We look forward to meeting you and your pet!

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New Client Information

Name *

First

Last

Email *

Primary Phone *

Secondary Phone

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Who else is authorized to make decisions about your pet's healthcare? *

First

Last

Phone

How did you find out about our hospital? If you were referred by someone, who should we thank? *

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

Yes
No

What is the microchip number?

Do you have a second pet? *

Yes
No

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

Yes
No

What is the microchip number?

Do you have a third pet? *

Yes
No

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

Yes
No

What is the microchip number?

Do you have a fourth pet? *

Yes
No

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

Yes
No

What is the microchip number?

Do you have a fifth pet? *

Yes
No

Pet's Name *

Species (dog, cat, etc.) *

Breed *

Age/Date of Birth *

Sex *

Male
Neutered Male
Female
Spayed Female

Does your pet have a microchip identification? *

Yes
No

What is the microchip number?

Payment is due in full at the time that services are performed. If being admitted into the hospital, we cannot begin the care of your Pet until you have confirmed your desire to do so by 1) signing the client consent & estimate form, and 2) leaving an initial deposit of 50% of the upper end of the estimate. This is the only way that we have of knowing for certain that you want us to proceed with the care of your Pet. We accept Cash, Visa, MasterCard, AMEX, and Scratchpay and IFinance payments. We neither extend credit, nor bill for services. All open invoices are sent to collections after 45 days unless prior arrangements are made. *

I have read and accept the financial policy.

Website

Ready to Visit?

At Stonewall Veterinary Hospital, we’re proud to care for the pets of Stonewall and the surrounding areas, including Winnipeg and the Interlake region. We can’t wait to welcome you and your pet!

Request Appointment

Have a Question?

Please reach out to us today by completing our online form. One of our team members will contact you as soon as possible!

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Contact

Phone: (204) 467-2481
Fax: 204-467-8118
Email: stonevet@mymts.net

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Location

4 Dolomite Ave
Stonewall, MB R0C 2Z0

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Hours

Monday – Friday: 8:00 AM – 6:00 PM
Saturday: 9:00 AM – 4:30 PM
Sunday: Closed

We are closed on statutory holidays and Saturdays during long weekends.

Name *

First

Last

Email *

Phone

How can we help you? *

Name

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After-Hours Emergencies

For after-hours emergencies, please contact one of the two centers below:

Bridgwater Veterinary Hospital & Wellness Centre

Phone:
(204) 452-0911

Address:
100-350 North Town Drive
Winnipeg, MB R3Y 0Y4

Website:
bridgwatervethospital.ca

Winnipeg Animal Emergency Hospital

Phone:
(204) 452-9427

Address:
400 Pembina Hwy
Winnipeg, MB R3L 2E7

Website:
winnipeganimalemergency.ca

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