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New Patient Form

Please fill out our New Patient Form using one of the options below if your pet is a new patient at Selkirk Veterinary Hospital.

Option 1

Complete Online

Complete and submit the online form below.

Option 2

Complete on Arrival

If you prefer, fill out the form when you get to our hospital.

New Patient Form

Owner Information

Emergency Contact

Patient Information

By submitting this form, I hereby authorize Selkirk Veterinary Hospital to render medical care for my pet(s) as deemed necessary by the veterinarian. I understand that no guarantee can be given to the outcome of treatments and take it as my responsibility to comprehend any risks involved. I agree to pay for the cost of all services to which I consent to by written or verbal estimate. I understand that a deposit is required before diagnostics and treatments can be initiated and that payment in full is required prior to discharge of patient from Selkirk Veterinary Hospital.

New Patients Welcome

Selkirk Veterinary Hospital is accepting new patients! Trust our team to deliver the compassionate, expert care your pet needs to achieve optimal health and well-being. Book your pet's first appointment today.

Contact Us

Call (250) 352-2999 Contact