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Are you looking to become a client at Trenton Pet Hospital? Please fill out the new client registration form below.

If you have any questions, please email our clinic directly at trentonpethospital@gmail.com

NEW CLIENT FORM

New Client Form

Your Contact Information
Name*
First Last
Spouse/Co-Owner Name
First Last
Address*
Street Address City Postal Code
Email*
Cell Phone
Co-Owner Cell Phone
Home Phone
Are you looking to book an appointment?*
- Yes
- No
Appointment availability, types and lengths vary. Please list a few dates/times that may work best for you.
If you are looking to book an appointment, please tell us what you would like to book your pet for:
Name of Previous Clinic (if no previous clinic, type N/A)*
How Did You Hear About Us?*
- Google/Search Engine
- Location/Sign
- Personal Referral
- Quinte Humane Society
- Previous Clients
- Social Media
- Rotary
- Another Veterinarian
- Pet Store
- Rabies Clinic
- Called Around
- Fixed Fur Life
- Unknown
Your Pet's Medical Information
Pet's Name
My pet is a
- Dog
- Cat
- Other (Pocket Pet or Bird)
Breed
Colour
Is your pet microchipped?
Pet's Date of Birth
MM slash DD slash YYYY
Sex
- Male
- Female
Spayed/Neutered?*
- Yes
- No
- Unknown
- Is going to be used for breeding
Does your pet have any chronic medical conditions?

If yes, please describe:
Does your pet have any allergies?

If yes, please describe:
Fear Free Questions
How would you describe your pet's reaction going to the veterinary hospital?*
Does your pet show reluctance to getting in a pet carrier or vehicle?*
- Yes
- No
How does your pet travel when in a vehicle?*
How does your pet behave in the vehicle?*
- Vocal/Barking/Whining
- Restless/Pacing
- Panting
- Drooling
- Trembling
- Perfectly
Are there things you or your pet did not like during past veterinary visits?*
- Being weighed
- Getting on the exam table
- Having a procedure done
- Being handled
- Walking through the clinic
- Other
How would you describe your pet around other animals and people?
Has your pet ever been prescribed any medication to help with previous veterinary visits?*
- Yes
- No
Do you have any other pets you would like to add?
- Yes
- No
2nd Pet's Name
My 2nd pet is a
- Dog
- Cat
2nd Pet Breed
Colour
Is your 2nd pet microchipped?
- Yes
- No
- Not sure
2nd Pet's Date of Birth
MM slash DD slash YYYY
2nd Pet's Sex
- Male
- Female
Spayed/Neutered?
- Yes
- No
- Unknown
- Is going to be used for breeding
Does your 2nd pet have any chronic medical conditions?
If yes, please describe:
Does your 2nd pet have any allergies?
If yes, please describe:
Fear Free Questions
How would you describe your pet's reaction going to the veterinary hospital?*
Does your pet show reluctance to getting into a pet carrier or vehicle?*
How does your 2nd pet travel when in a vehicle?*
How does your second pet behave in a vehicle?*
- Vocal/barking/whining
- Restless/pacing
- Panting
- Drooling
- Trembling
Are there things you or your pet did not like during past veterinary visits?*
- Being weighed
- Getting on the exam table
- Having a procedure done
- Being handled
- Walking through the clinic
- Other
How would you describe your pet around other animals and people?
Has your pet ever been prescribed any medication to help with previous veterinary visits?*
- Yes
- No
Do you have a third pet you will like to add?
- Yes
- No
3rd Pet's name
My 3rd pet is a
- Dog
- Cat
Breed of 3rd Pet
Colour
Is your 3rd pet microchipped?
- Yes
- No
- Not sure
3rd Pet's Date of Birth
MM slash DD slash YYYY
3rd Pet's Sex
- Male
- Female
Spayed/Neutered?
- Yes
- No
- Unknown
- Is going to be used for breeding
Does your 3rd pet have any allergies?
If yes, please describe:
Does your 3rd pet have any chronic medical conditions?
FEAR FREE QUESTIONS FOR 3rd PET
How would you describe your pet's reaction going to the veterinary hospital?*
Does your pet show reluctance to getting into a pet carrier or vehicle?*
- Yes
- No
How does your third pet behave in a vehicle?*
- Vocal/barking/whining
- Restless/pacing
- Panting
- Drooling
- Trembling
Are there things you or your pet did not like during past veterinary visits?*
- Being weighed
- Getting on the exam table
- Having a procedure done
- Being handled
- Walking through the clinic
- Other
How would you describe your pet around other animals and people?
Has your pet ever been prescribed any medication to help with previous veterinary visits?*
- Yes
- No
Consent & Agreement
Photo/Video Consent*
- Yes, I consent
- No, I do not consent
Occasionally, we take videos and pictures of our pets to post on social media and use for training, do you consent to our use of photos/videos of your pet? Please follow our social media accounts!
I/we hereby authorize the veterinarians to examine, prescribe for, or treat my pets (s). I/we assume full responsibility for all charges incurred in the care of this/these animal(s). I/we also understand that these charges will be paid in full at the time of release and that a deposit may be required for certain surgical treatments or other procedures.*
I have read and understand.
I/we have read, understood and agree to abide by Trenton Pet Hospital's Civility Policy*
I have read and understand.
Team members of Trenton Pet Hospital will treat each other and members of the public with respect. The same treatment is expected in return.

This policy is intended to promote mutual respect, civility and orderly conduct among clinic team members and the public. This policy is not intended to deprive any person of his or her right to freedom of expression, but only to maintain a safe, harassment-free workplace. TPH seeks public cooperation with this endeavor.

Aggressive or abusive behaviour, whether verbal or written will result in the termination of services.
Type Signature*

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Address

441 Front Street
Trenton, ON K8V 6C1
Vet near me
Click here for directions.

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Business Hours

Mon: 8 am – 5 pm
Tues: 8 am – 5 pm
Wed: 8:45 am – 5 pm
Thurs: 8 am – 5 pm
Fri: 8 am – 5 pm
Sat: Closed
Sun: Closed

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Contact Info

Phone: 613-392-6667
Text: 613-501-4128
Email: info@trentonpethospital.com

After Hours Emergencies:
Pet Hospital of Prince Edward and Hastings Counties
Phone: 613-968-9956

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