Register your pet Personal Details Title First Name Surname (required) Address (required) Postcode (required) Contact Details - enter at least one telephone number or email address* Telephone - home Telephone - mobile Telephone - business Email Are you happy for us to contact you from time to time by text/email? Yes, I am happy to be contacted by Hallam Veterinary Centre Your Pet Pet's name (required) Age Species (eg. cat, dog, rabbit) (required) Breed Colour Sex MaleFemale Neutered YesNo Date of last vaccination Date of last worming Microchip number (if applicable) Insurance company (if applicable) Name of previous veterinary practice (required) Phone number of previous veterinary practice (required) Do you have any additional pets you wish to register? Yes, please contact me for their details Which branch would you like to register at? ---HillsboroughCrookes How did you hear about us? Personal recommendationPractice signsWebsiteFacebookNewspaperYellow pagesOther If other, then please tell us here: Would you like us to contact you about a query you have? YesNo If yes, please let us know and how to contact you. Keeping in touch Yes please, I would like to receive reminders (i.e. appointments, boosters and treatment reminders) By emailBy phoneBy post Yes please, I would like to receive marketing communications (i.e. products and services) By emailBy phoneBy post Terms & Privacy I agree to have read and accepted your business 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. I agreeI am over 18 See our privacy policy
