Toggle navigation
About us
Careers
Meet the team
Our History
Branches
Information
COVID-19 Updates
Patient Care
Pet Insurance
Order Food and Medications
Responsible use of Antibiotics
RCVS Practice Standards Scheme
Feedback
Terms & Conditions
What we offer
Emergency Care
Pet Health Plan
Acupuncture
Dental Care
Inpatient Care
Vaccinations
Parasite Control
Pet Travel
Nurse Clinics
Prescriptions
Surgery
X-ray & Ultrasound
Saying Goodbye
Contact us
Call Us:
02085051435
Register
Emergency
Home
>
Register
If you are human, leave this field blank.
Which Practice
Please select a practice
*
Buckhurst Hill Veterinary Surgery
Walthamstow Veterinary Surgery
Hornchurch Veterinary Surgery
Pet Details
Pet Name
*
Pet species and breed
*
Colour of pet
Pet's Date of Birth
Sex of pet
*
Male
Female
Last vaccine date
*
Is your pet neutered
*
Yes
No
Best time for us to call you
*
To arrange a new client check with the Nurse
Is the pet insured
*
Yes
No
Previous vets they were registered with
*
We will contact them for clinical history
Who is the insurance with
Your Details
First Name
*
Last Name
*
Mobile Number
*
Email Address
*
Address
*
Postcode
*
Keeping in touch
by email
by phone (including text message)
by phone (including text message)
Yes please, I would like to receive reminders (i.e. appointments, boosters and treatment reminders)
by email
by phone (including text message)
by phone (including text message)
Yes please, I would like to receive marketing communications (i.e. products and services)
Terms & Privacy
*
I agree and I am over the age of 18
I agree to have read and accepted your
terms
and
privacy policy
. Your privacy is important to us and you can find out more about how we use your data from our “Full Privacy Notice” which is available from in the links above.
Captcha
*
reCAPTCHA is required.
Submit