New Client Form

Welcome to Gateway Veterinary Services! We look forward to taking amazing care of your beloved pet. Please fill out the form below before your appointment so we can get to know you and your pet(s). We’re here to provide a calm, relaxing experience for your family.

New to Gateway?
Use this link to find us. https://goo.gl/maps/hFnzntfBojAAyP658

Registration

Name of Owner(Required)

First Last

Address(Required)

Street Address Address Line 2 City Province Postal Code

Cell Phone(Required)

Alternate Phone

Your cell phone will be utilized to update you on patient status, appointment reminders, and to contact you directly in regards to your pet/livestock.

Email(Required)

Spouse/Partner

First Last

Phone

Preferred Contact Method(Required)

Phone

How did you hear about us?(Required)

Google

Facebook

Twitter

Instagram

Sign/Walked By

Referral

Other

Who referred you, we'd love to thank them!(Required)

If other, please explain(Required)

Patient Information

Pet's Name(Required)

Species(Required)

Cat

Dog

Other

If other, please elaborate(Required)

Age(Required)

Date of Birth

Sex(Required)

Female

Spayed Female

Male

Neutered Male

Breed(Required)

Colour(Required)

List any known allergies

Other pets in the household?(Required)

Yes

Would you like to add information for another pet?(Required)

Yes

This field is hidden when viewing the form

Second Pet Info

Pet's Name(Required)

Species(Required)

Cat

Dog

Other

If other, please elaborate(Required)

Age(Required)

Date of Birth

Sex(Required)

Female

Spayed Female

Male

Neutered Male

Breed(Required)

Colour(Required)

List any known allergies

Other pets in the household?(Required)

Yes

This field is hidden when viewing the form

End Second pet info

Please upload any of your pet's records that you may have

Drop files here or

Max. file size: 256 MB, Max. files: 5.

Do you have pet insurance?(Required)

Yes

If yes, please let us know which company

Former Veterinarian Name/Hospital

Former Veterinarian's Phone Number

Authorization

I hereby authorize the veterinarian to examine, prescribe for, or treat the above described pet. I assume responsibility for all charges incurred in the care of this animal. I also understand that these charges will be paid at the time of release and that a deposit may be required for surgical treatment or hospital treatment.(Required)

I have read and agree

I hereby authorize the release of my pet’s medical records to another facility (boarding/daycare, urgent care facility, etc.), should they be requested.(Required)

Yes

Signature(Required)

Date(Required)

MM slash DD slash YYYY

CAPTCHA

Comments

This field is for validation purposes and should be left unchanged.

Welcome to Gateway Veterinary Services!

We look forward to taking amazing care of your beloved pet. Please be sure to contact us with any questions you may have. We’re here to provide a calm, relaxing experience for your family.

Address

710 Hamilton Ave W
Melfort, Saskatchewan S0E 1A0
Click here for directions.

Business Hours

Mon: 8 AM – 12 PM + 1 PM – 5:30 PM
Tue: 8 AM – 12 PM + 1 PM – 5:30 PM
Wed: 8 AM – 12 PM + 1 PM – 5:30 PM
Thu: 8 AM – 12 PM + 1 PM – 5:30 PM
Fri: 8 AM – 12 PM + 1 PM – 5:30 PM
Sat: Closed
Sun: Closed
Available for emergency calls 24/7.

Contact Info

Toll Free: 844-752-7387
Call/Text: 306-752-7387
Email: theteam@gatewayvet.ca

Book an appointment online from any device!

Click the button below to get started. We look forward to seeing you and your family soon!

APPOINTMENT