Register - Palmerston Veterinary Group

Please select a practice *

Pet Name *

Pet species and breed *

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

First Name *

Last Name *

Mobile Number *

Email Address *

Address *

Postcode *

Captcha *